Biczak, Laureen A
Biczak, Laureen A is an individual health care provider with primary practice located at 50 Foden Rd, Ste 3 , South Portland ME 04106-1718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Biczak, Laureen A can be contacted via phone (207) 774-5816.Contact Information
Primary practice address
50 Foden Rd, Ste 3
South Portland ME 04106-1718
Phone: (207) 774-5816
Fax: (207) 523-8594
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1167 | Maine |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 1167 | Maine |
Profile Details
NPI number | 1073579074 |
---|---|
LBN Legal business name | Biczak, Laureen A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Feb 13th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073579074 | NPPES |
Maine | MEDICAID | 265860099 | |
Maine | Other | 1041404 | |
Maine | Other | 018025 |
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