Bieniasz, Paul

Bieniasz, Paul is an individual health care provider with primary practice located at 1000 N 8Th Ave , Pocatello ID 83201-5757. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bieniasz, Paul can be contacted via phone (208) 232-6260.

Contact Information

Primary practice address
1000 N 8Th Ave Pocatello ID 83201-5757
Phone: (208) 232-6260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 889 Idaho

Profile Details

NPI number 1518934181
LBN Legal business name Bieniasz, Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 21st, 2024 - about last year

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 1518934181 NPPES
Idaho MEDICAID 1518934181

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