Hendricks, Benjamin L

Hendricks, Benjamin L is an individual health care provider with primary practice located at 529 Clifty Dr , Madison IN 47250-1608. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Hendricks, Benjamin L can be contacted via phone (812) 273-6262.

Contact Information

Primary practice address
529 Clifty Dr Madison IN 47250-1608
Phone: (812) 273-6262
Fax: (812) 273-1915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 23002629A Indiana
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 23002629A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002629A Indiana
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002629A Indiana

Profile Details

NPI number 1477075950
LBN Legal business name Hendricks, Benjamin L
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Nov 10th, 2021 - about 5 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 1477075950 NPPES
Indiana Other 23002629A INDIANA PROFESSIONAL LICENSING AGENCY

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