Benjamin Crocker is a Psychiatry in Portland, Maine. Benjamin Crocker practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Benjamin Crocker is 1841297009. The last update date is 2016-02-02.
Benjamin Crocker's current location address is 208 Vaughan St, Portland, Maine. You can contact this provider via phone number 2074508627 and fax number 8882900232. The mailing address for Benjamin Crocker is 208 Vaughan St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Crocker |
|---|---|
| Address | 208 Vaughan St, Portland, Maine |
| Phone Number | 2074508627 |
| Fax Number | 8882900232 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841297009 |
|---|---|
| Provider Enumeration Date | 2005-07-02 |
| Last Updated Date | 2016-02-02 |
Provider Mailing Address Detail
| Address | 208 Vaughan St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41023204 |
| Phone Number | 2074508627 |
| Fax Number | 8882900232 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G043952 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273470099 | ME | -- |
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What is the unique 10-digit identification code issued to Benjamin Crocker by the Centers for Medicare & Medicaid Services?
The Benjamin Crocker has been assigned the NPI (National Provider Identifier) 1841297009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Benjamin Crocker located?
The Benjamin Crocker is located at 208 Vaughan St, Portland, ME 41023204.
What is Benjamin Crocker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Benjamin Crocker is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841297009 to Benjamin Crocker?
The Centers for Medicare & Medicaid Services assigned the 1841297009 to Benjamin Crocker on 2005-07-02.
As of what date were the Benjamin Crocker's details last updated?
The information pertaining to the Benjamin Crocker, including its address, specialty, and other details, was most recently updated on 2016-02-02.