Beckstead, Samuel Welling

Beckstead, Samuel Welling is an sole proprietor health care provider with primary practice located at 2100 Providence Way , Idaho Falls ID 83404-4951. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Beckstead, Samuel Welling can be contacted via phone (208) 529-6600.

Contact Information

Primary practice address
2100 Providence Way Idaho Falls ID 83404-4951
Phone: (208) 529-6600
Fax: (208) 529-6602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS020090 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X O-1389 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X O-1389 Idaho

Profile Details

NPI number 1487041380
LBN Legal business name Beckstead, Samuel Welling
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2015
Last updated Nov 5th, 2020 - about 6 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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