Provider Demographics
NPI:1841259900
Name:BLESSINGTON, STEVEN C (PA, MHP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:C
Last Name:BLESSINGTON
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Gender:M
Credentials:PA, MHP
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Mailing Address - Street 1:100 FODEN RD E
Mailing Address - Street 2:STE 201
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-828-0361
Mailing Address - Fax:207-874-1483
Practice Address - Street 1:1685 CONGRESS ST
Practice Address - Street 2:WEEKEND CLINIC
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102
Practice Address - Country:US
Practice Address - Phone:207-774-5816
Practice Address - Fax:207-774-3329
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2009-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MEPA529363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEAP231203Medicare PIN
S37200Medicare UPIN