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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1477075950 | NPPES |
| Indiana | Other | 23002629A | INDIANA PROFESSIONAL LICENSING AGENCY |
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