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Individual

DR. BENJAMIN L HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
529 CLIFTY DR, MADISON, IN 47250-1608
(812) 273-6262
(812) 273-1915
Mailing address
529 CLIFTY DR, MADISON, IN 47250-1608
(812) 273-6262
(812) 273-1915

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23002629A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
07/17/2017
Last updated
11/10/2021
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