Benevides, Scott M.

Benevides, Scott M. is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Benevides, Scott M. can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2638
Phone: (207) 828-2100
Fax: (207) 553-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA726 Maine

Profile Details

NPI number 1548256035
LBN Legal business name Benevides, Scott M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Sep 1st, 2026 - about last month

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 1548256035 NPPES
Maine MEDICAID 1548256035

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