Individual
DR. JEAN S BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15280
NH
207P00000X
Emergency Medicine Physician
Primary
MD14059
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024823
ANTHEM STAR NUMBER
ME
01
—
080116794
RAILROAD MEDICARE
ME
05
—
1020050
—
VT
01
—
1042511
AETNA HMO
ME
05
—
1558367995
—
ME
05
—
32001280
—
NH
01
—
5976606
AETNA POS
ME
Enumeration date
06/21/2005
Last updated
04/06/2021
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