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
Fax: (207) 523-8594
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073579074 NPPES
Maine MEDICAID 265860099
Maine Other 1041404
Maine Other 018025

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