Provider Demographics
NPI:1730208703
Name:RIGBY, MARTIN (DC)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:
Last Name:RIGBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170-3824
Mailing Address - Country:US
Mailing Address - Phone:617-328-3399
Mailing Address - Fax:617-773-4244
Practice Address - Street 1:873 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170-3824
Practice Address - Country:US
Practice Address - Phone:617-328-3399
Practice Address - Fax:617-773-4244
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY393999OtherBLUE CROSS GROUP NUMBER
MA1612549Medicaid
MAY36693OtherBLUE CROSS PROVIDER NUMBE
MA9799958Medicaid
MA351340OtherHARVARD PILGRIM
MA1612549Medicaid