Beenken, Samuel W

Beenken, Samuel W is an individual health care provider with primary practice located at 5510 Highway 280 Suite 215, Birmingham AL 35242-6582. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Beenken, Samuel W can be contacted via phone (205) 624-4325.

Contact Information

Primary practice address
5510 Highway 280 Suite 215 Birmingham AL 35242-6582
Phone: (205) 624-4325
Fax: (205) 620-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15438 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X PM.552 Alabama

Profile Details

NPI number 1801830815
LBN Legal business name Beenken, Samuel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 29th, 2018 - about 8 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 1801830815 NPPES
Alabama Other 020016114 RAILROAD MEDICARE
Alabama Other 000082627 RAILROAD MEDICARE
Alabama MEDICAID 000082627 RAILROAD MEDICARE
Alabama Other E50317 RAILROAD MEDICARE

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