Provider Demographics
NPI:1740248350
Name:HENGY, JAMES BEN (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BEN
Last Name:HENGY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1806 E PARKDALE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-9363
Mailing Address - Country:US
Mailing Address - Phone:231-398-9536
Mailing Address - Fax:231-398-9541
Practice Address - Street 1:1806 E PARKDALE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-9363
Practice Address - Country:US
Practice Address - Phone:231-398-9536
Practice Address - Fax:231-398-9541
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101011084207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3178700Medicaid
MI3178700Medicaid
MIF68339Medicare UPIN