Individual
MR. JOHN C BAMBENEK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 MAXWELL AVENUE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVENUE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 671-0627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01047200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200149890A
—
IN
Enumeration date
07/07/2006
Last updated
03/03/2025
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