Libby, Eric David

Libby, Eric David is an individual health care provider with primary practice located at 955 Main St , Winchester MA 01890-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Libby, Eric David can be contacted via phone (781) 729-5855.

Contact Information

Primary practice address
955 Main St Winchester MA 01890-4302
Phone: (781) 729-5855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 79352 Massachusetts

Profile Details

NPI number 1922048016
LBN Legal business name Libby, Eric David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 6th, 2012 - 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 1922048016 NPPES
Other 303380 HARVARD PILGRIM HEALTH
Other J30490 HARVARD PILGRIM HEALTH
Other 509647 HARVARD PILGRIM HEALTH
Other 079352 HARVARD PILGRIM HEALTH
MEDICAID 3126072 HARVARD PILGRIM HEALTH

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