Benjamin, Katie

Benjamin, Katie is an individual health care provider with primary practice located at 1595 S Calumet Rd Ste 3 , Chesterton IN 46304-2389. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Benjamin, Katie can be contacted via phone (219) 764-4888.

Contact Information

Primary practice address
1595 S Calumet Rd Ste 3 Chesterton IN 46304-2389
Phone: (219) 764-4888
Fax: (219) 898-4258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1659927887
LBN Legal business name Benjamin, Katie
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659927887 NPPES
Indiana MEDICAID 200196020A

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