# DR. BENJAMIN L HENDRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477075950
- **Gender:** Man
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002629A | IN | Yes |
| 231HA2400X | Assistive Technology Practitioner Audiologist | 23002629A | IN | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | 23002629A | IN | — |
| 237600000X | Audiologist-Hearing Aid Fitter | 23002629A | IN | — |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 11/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 23002629A | INDIANA PROFESSIONAL LICENSING AGENCY | IN |