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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184723819 | NPPES |
| Massachusetts | MEDICAID | 3166724 |
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