Provider Demographics
NPI:1609848753
Name:SCHOENBACHLER, BEN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:JOSEPH
Last Name:SCHOENBACHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 E CHESTNUT ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-5700
Mailing Address - Country:US
Mailing Address - Phone:502-588-4425
Mailing Address - Fax:502-588-4427
Practice Address - Street 1:401 E. CHESTNUT ST
Practice Address - Street 2:#610
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-588-4450
Practice Address - Fax:502-588-9539
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY373392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY292636OtherTRICARE
IN200422650Medicaid
KY64054141Medicaid
IN200422650Medicaid
KY292636OtherTRICARE
C69781Medicare UPIN
KY0878420Medicare PIN