Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | G07655 | CA |
Y | 207RP1001X | Pulmonary Disease | G076533 | CA |
N | 207RS0012X | Sleep Medicine | G076533 | CA |
NPI | 1043393663 |
---|---|
Provider Name | Jamie Marie Bigelow |
First Address | Novato, CA 94948-1023 |
Second Address | San Francisco, CA 94109-5996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G47408 | (02) |