Ghassibi, Boutros Michel

Ghassibi, Boutros Michel is an sole proprietor health care provider with primary practice located at 34 Haverhill St , Lawrence MA 01841-2884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ghassibi, Boutros Michel can be contacted via phone (978) 686-0090.

Contact Information

Primary practice address
34 Haverhill St Lawrence MA 01841-2884
Phone: (978) 686-0090
Fax: (978) 681-5963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72138 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 72138 Massachusetts

Profile Details

NPI number 1184723819
LBN Legal business name Ghassibi, Boutros Michel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Nov 9th, 2017 - about 7 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 1184723819 NPPES
Massachusetts MEDICAID 3166724

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