Scoll, Benjamin Jacob

Scoll, Benjamin Jacob is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 310, Portland ME 04102-2780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Scoll, Benjamin Jacob can be contacted via phone (207) 523-5901.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 310 Portland ME 04102-2780
Phone: (207) 523-5901
Fax: (207) 523-5902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 018411 Maine

Profile Details

NPI number 1174762116
LBN Legal business name Scoll, Benjamin Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Dec 5th, 2011 - about 15 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 1174762116 NPPES
Maine MEDICAID 1174762116

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