Dr. Krystian W Bigosinski
Family Doctor - Sports Medicine
100 Brickhill Avenue Suite 303
South Portland
, Maine 04106
Dr. Krystian W Bigosinski
Family Doctor - Sports Medicine
100 Brickhill Avenue Suite 303
South Portland
, Maine 04106
(207) 396-8632
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Krystian W Bigosinski
- 301c Us Route One
- Scarborough, ME
- Zip : 04074
- Fax : (207) 396-8632
- Phone : (207) 396-8600
Second Address
- Dr. Krystian W Bigosinski
- 100 Brickhill Avenue Suite 303
- South Portland, ME
- Zip : 04106
- Fax : (207) 824-4900
- Phone : (207) 773-0040
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FAQs
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Is Dr. Krystian W Bigosinski a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | 036121017 | IL |
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD20416 | ME |
National Provider Identifier
| NPI | 1245450832 |
|---|---|
| Provider Name | Dr. Krystian W Bigosinski |
| First Address | Scarborough, ME 04074 |
| Second Address | South Portland, ME 04106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2007 |
| Last Update Date | 29/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036121017 | IL STATE MEDICAL LICENSE (01) | IL |
| 20706713 (207067) | (02) | IL |
| 207073013 (207073) | (02) | IL |
| ML20008426 | STATE MEDICAL LISCENCE (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.