Provider Demographics
NPI:1669630083
Name:HENKLE, BENJAMIN OSBORN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:OSBORN
Last Name:HENKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 HOSPITAL DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1311
Mailing Address - Country:US
Mailing Address - Phone:978-937-6460
Mailing Address - Fax:978-937-6842
Practice Address - Street 1:2 HOSPITAL DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1311
Practice Address - Country:US
Practice Address - Phone:978-937-6460
Practice Address - Fax:978-937-6842
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA242530208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation