Henderson, Benjamin Reid

Henderson, Benjamin Reid is an individual health care provider with primary practice located at 4801 Ambassador Caffery Pkwy Dept Of Radiology, Lafayette LA 70508-6917. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Henderson, Benjamin Reid can be contacted via phone (337) 470-2180.

Contact Information

Primary practice address
4801 Ambassador Caffery Pkwy Dept Of Radiology Lafayette LA 70508-6917
Phone: (337) 470-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.202606 Louisiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD.202606 Louisiana

Profile Details

NPI number 1295946564
LBN Legal business name Henderson, Benjamin Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated May 21st, 2015 - about 11 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 1295946564 NPPES
Louisiana MEDICAID 50964

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