Bieligk, Samuel C.

Bieligk, Samuel C. is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bieligk, Samuel C. can be contacted via phone (208) 743-7612.

Contact Information

Primary practice address
415 6Th St Lewiston ID 83501
Phone: (208) 743-7612
Fax: (208) 746-4802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D57659 Maryland
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 2008010215 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X MC-2661 Idaho

Profile Details

NPI number 1982618112
LBN Legal business name Bieligk, Samuel C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 23rd, 2024 - about 5 months 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 1982618112 NPPES
Missouri MEDICAID 205492804
Missouri MEDICAID 200135770A
Missouri Other P00785793
Missouri Other MC-2661

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