Bigby, Michael Elliott
Bigby, Michael Elliott is an individual health care provider with primary practice located at 330 Brookline Ave Cc2, Boston MA 02215-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bigby, Michael Elliott can be contacted via phone (617) 667-3753.Contact Information
Primary practice address
330 Brookline Ave Cc2
Boston MA 02215-5400
Phone: (617) 667-3753
Fax: (617) 975-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 47598 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 47598 | Massachusetts |
Profile Details
| NPI number | 1447201850 |
|---|---|
| LBN Legal business name | Bigby, Michael Elliott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 20th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447201850 | NPPES |
| Massachusetts | MEDICAID | 0144363 |
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