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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295946564 | NPPES |
| Louisiana | MEDICAID | 50964 |
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