Benner, Marian
Benner, Marian is an individual health care provider with primary practice located at 360 Broadway , Bangor ME 04401-3979. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Benner, Marian can be contacted via phone (207) 907-1550.Contact Information
Primary practice address
360 Broadway
Bangor ME 04401-3979
Phone: (207) 907-1550
Fax: (207) 907-3052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD16834 | Maine |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | MD16834 | Maine |
Profile Details
| NPI number | 1316018260 |
|---|---|
| LBN Legal business name | Benner, Marian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Feb 3rd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316018260 | NPPES |
| Maine | MEDICAID | 528951300 |
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