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Contact Information

JEFFREY J BEAN, DO
335 BRIGHTON AVE STE 200
PORTLAND, ME04102-2362
 Phone: 207-662-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY J BEAN · (Male)

NPI Number 1255386066
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/23/2006
Last updated 01/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 2037
  • ME Medicaid 432826999
  • ME Other 7209651 AETNA
  • ME Other 200882 ANTHEM
  • ME Other 4991097 CIGNA
  • ME Other AA109573 HARVARD PILGRIM
  • OH Other 00236042 MEDICARE RAILROAD
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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