Provider Demographics
NPI:1962228155
Name:BIGLEY VENTURE ONE LLC
Entity type:Organization
Organization Name:BIGLEY VENTURE ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-645-7044
Mailing Address - Street 1:295 OLD EAGLE SCHOOL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2609
Mailing Address - Country:US
Mailing Address - Phone:215-645-7044
Mailing Address - Fax:215-449-8854
Practice Address - Street 1:295 OLD EAGLE SCHOOL RD STE 2
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2609
Practice Address - Country:US
Practice Address - Phone:215-645-7044
Practice Address - Fax:215-449-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty