Individual
DR. HEATHER LYNETTE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1400 N RITTER AVE STE 431, INDIANAPOLIS, IN 46219-3050
(317) 355-3090
(317) 355-3091
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01084366A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201370350
—
IN
01
—
Q00237646
RAILROAD MEDICARE
IN
Enumeration date
05/16/2016
Last updated
04/01/2022
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