- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-662-2541
- Fax
- —
- Last updated
- June 18, 2024
Shannon M. Bennett is a Pediatrics based in Portland, ME. Shannon M. Bennett practices in Portland, ME and has the professional credentials of DO. The NPI Number for Shannon M. Bennett is 1881836203 and holds a License No. DO2387 (ME). The current practice location address for Shannon M. Bennett is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2541.
Provider Profile Details
- NPI Number
- 1881836203
- Provider Name
- Shannon M. Bennett
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-662-2541
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2009
- Last Update Date
- June 18, 2024
- Certification Date
- June 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-662-2541
Provider Business Mailing Address Details
- Address
- 39 Holmes RD
Saco, ME 04072-9364 - City
- Saco
- State
- ME
- Zip
- 04072-9364
- Phone Number
- 207-604-0391
License Information
- License Number (1)
- DO2387
- License State (1)
- ME
- Taxonomy (1)
- Hospitalist · 208M00000X
- License Number (2)
- DO2387
- License State (2)
- ME
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Portland, ME
View all Pediatrics providers in Portland →Frequently Asked Questions
What is the NPI number of Dr. Shannon M Bennett, DO?
The NPI number of Dr. Shannon M Bennett, DO is 1881836203. It was assigned on March 31, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Shannon M Bennett, DO?
Dr. Shannon M Bennett, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in ME under license number DO2387.
Where does Dr. Shannon M Bennett, DO practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2541 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881836203 directly on the NPPES registry website.