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Individual

DR. SAMUEL W BEENKEN

Active
Find providers by NPI
Individual

DR. SAMUEL W BEENKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15438
AL
208VP0000X
Pain Medicine Physician
Primary
PM.552
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082627
BLUE CROSS
AL
05
—
000082627
—
AL
01
—
020016114
RAILROAD MEDICARE
AL
01
—
E50317
VIVA
AL
Enumeration date
06/16/2006
Last updated
01/29/2018
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