Provider Demographics
NPI:1619373867
Name:TURPIN, BENJAMIN M (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:M
Last Name:TURPIN
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4362
Mailing Address - Country:US
Mailing Address - Phone:217-442-1900
Mailing Address - Fax:217-442-1765
Practice Address - Street 1:3354 BIG PINE TRL STE C
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-1412
Practice Address - Country:US
Practice Address - Phone:217-373-1500
Practice Address - Fax:217-398-9482
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2907237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist