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Individual
ELIZABETH ANN BISH
Active
Individual
ELIZABETH ANN BISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001622
TUFTS
MA
01
—
Y36147
BCBS
MA
Enumeration date
02/24/2006
Last updated
01/15/2015
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