Bagby, Martha H.

Bagby, Martha H. is an individual health care provider with primary practice located at 147 Milk St , Boston MA 02109-4806. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bagby, Martha H. can be contacted via phone (617) 654-7300.

Contact Information

Primary practice address
147 Milk St Boston MA 02109-4806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102422 Massachusetts

Profile Details

NPI number 1942251186
LBN Legal business name Bagby, Martha H.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942251186 NPPES
Massachusetts Other 669491 TUFTS HEALTH PLAN
Massachusetts Other P03417 TUFTS HEALTH PLAN

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