Provider Demographics
NPI:1336896463
Name:BENZINGER, ABIGAIL D
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:D
Last Name:BENZINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10824 COURAGEOUS DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9570
Mailing Address - Country:US
Mailing Address - Phone:317-525-4744
Mailing Address - Fax:
Practice Address - Street 1:701 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47408-1578
Practice Address - Country:US
Practice Address - Phone:812-855-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program