Benjamin Reid Henderson in Lafayette - Student In An Organized Health Care Education/training Program

Benjamin Reid Henderson - NPI 1295946564

Benjamin Reid Henderson is a Student In An Organized Health Care Education/training Program in Lafayette, Louisiana. Benjamin Reid Henderson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Benjamin Reid Henderson is 1295946564. The last update date is 2015-05-21.

Benjamin Reid Henderson's current location address is 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3374702180. The mailing address for Benjamin Reid Henderson is 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Reid Henderson
Address 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana
Phone Number 3374702180
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1295946564
Provider Enumeration Date 2007-05-25
Last Updated Date 2015-05-21

Provider Mailing Address Detail

Address 4801 Ambassador Caffery Pkwy
City Lafayette
State Louisiana (LA)
Post Code 705086917
Phone Number 3374702180
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50964 LA --

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FAQs about Benjamin Reid Henderson

What is the unique provider identifier assigned to Benjamin Reid Henderson?

The Benjamin Reid Henderson has been issued the NPI (National Provider Identifier) 1295946564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Benjamin Reid Henderson is physically located?

The Benjamin Reid Henderson is physically situated at the following address: 4801 Ambassador Caffery Pkwy, Lafayette, LA, 705086917.

What is Benjamin Reid Henderson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Benjamin Reid Henderson's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.

When was the Benjamin Reid Henderson's 1295946564 issued?

The Benjamin Reid Henderson's 1295946564 was issued on 2007-05-25.

When was the information pertaining to Benjamin Reid Henderson most recently updated or revised?

The details related to Benjamin Reid Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-21.

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