Individual
STEVEN BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 FULTON ST STE F, PORT CLINTON, OH 43452-2008
(419) 820-9719
(419) 820-9720
Mailing address
611 FULTON ST STE F, PORT CLINTON, OH 43452-2008
(419) 820-9719
(419) 820-9720
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35075012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04235
PARAMOUNT
OH
01
—
11211354
CAQH
OH
05
—
2176685
—
OH
01
—
249285
ANTHEM INS
OH
01
—
7992074
AETNA INS
OH
01
—
P00062349
RAILROAD MEDICARE
OH
Enumeration date
02/06/2006
Last updated
08/18/2025
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