Individual
DR. BENJAMIN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 450-8627
(888) 290-0232
Mailing address
208 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 450-8627
(888) 290-0232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G043952
CA
2084P0800X
Psychiatry Physician
Primary
MD13127
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273470099
—
ME
Enumeration date
07/02/2005
Last updated
02/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us