Bigosinski, Krystian W

Bigosinski, Krystian W is an individual health care provider with primary practice located at 100 Brickhill Avenue Suite 303, South Portland ME 04106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bigosinski, Krystian W can be contacted via phone (207) 773-0040.

Contact Information

Primary practice address
100 Brickhill Avenue Suite 303 South Portland ME 04106
Phone: (207) 773-0040
Fax: (207) 824-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036121017 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD20416 Maine

Profile Details

NPI number 1245450832
LBN Legal business name Bigosinski, Krystian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Dec 29th, 2014 - about 10 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 1245450832 NPPES
Illinois Other 036121017 IL STATE MEDICAL LICENSE
Illinois Other ML20008426 IL STATE MEDICAL LICENSE

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