Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN HABERLY
ActiveBENJAMIN HABERLY is a Surgical Physician Assistant healthcare provider located in SOUTH BEND, Indiana. NPI 1679176200 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SOUTH BEND, IN
Registration Details
- NPI Number
- 1679176200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.7256158192232 yrs)
- Last Updated
- Jan 16, 2025
- Licenses
-
10003022A (IN)10003022A (IN)
Practice Information
- Address
-
53880 CARMICHAEL DRSOUTH BEND, IN, 466351567Browse IN providers · Browse ZIP 46635
- Phone
- 5742479441
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Other Surgical Physician Assistant Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MS. MEGAN KATHLEEN MALONEY | PA-C | 1124429261 |
| JOSHUA ERIC KWASNICKA | — | 1386190494 |
| MARIA OXLEY | PA | 1538036025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.