Libbey, Caryn A

Libbey, Caryn A is an individual health care provider with primary practice located at 725 Albany St Shapiro 7, Suite B, Boston MA 02118-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Libbey, Caryn A can be contacted via phone (617) 638-7460.

Contact Information

Primary practice address
725 Albany St Shapiro 7, Suite B Boston MA 02118-2526
Fax: (617) 638-5226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 43031 Massachusetts

Profile Details

NPI number 1417934142
LBN Legal business name Libbey, Caryn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Apr 23rd, 2013 - about 13 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 1417934142 NPPES
Massachusetts MEDICAID 0130923
Massachusetts MEDICAID 8111-0208

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