Individual provider · Type 1 NPI
Benjamin Haberly
Surgical Physician Assistant · South Bend, IN
NPI number
1679176200
Active
Practice location
53880 Carmichael Dr
South Bend, IN 46635-1567
Mailing address
3600 W Bethel Ave
Muncie, IN 47304-5407
Other practice locations
- 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 · (574) 247-9441
- 2349 Lake Ave Ste 201, Plymouth, IN 46563-7837 · (574) 247-9441
- 303 S Nappanee St Ste F, Elkhart, IN 46514-2066 · (574) 247-9441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 10003022A (IN) |
| Physician Assistant | 363A00000X | 10003022A (IN) |
Surgical Physician Assistant: Definition to come...
95 other providers at this address
- Ascendant Orthopedic Alliance, LLCOrthopaedic Surgery Physician South Bend, IN NPI 1336665991
- Ascendant Orthopedic Alliance, LLCProsthetic/Orthotic Supplier South Bend, IN NPI 1629580758
- Central Indiana Orthopedics, LLCOrthopaedic Surgery Physician South Bend, IN NPI 1487421681
- Northern Brace Company IncProsthetic/Orthotic Supplier South Bend, IN NPI 1790743821
- South Bend Orthopaedic Associates, Inc.Orthopaedic Surgery Physician South Bend, IN NPI 1669421277
- Adam Joseph Cien, DOOrthopaedic Surgery Physician South Bend, IN NPI 1104183607
- Adelbert J. Mencias, MDOrthopaedic Hand Surgery Physician South Bend, IN NPI 1437131489
- Alexander David Hann, PAPhysician Assistant South Bend, IN NPI 1336989284
- Allisa MarriottOrthopedic Physical Therapist South Bend, IN NPI 1316858046
- Allison Linea Hartman, NPFamily Nurse Practitioner South Bend, IN NPI 1285164285
- Alyssa Hoffman, PTAPhysical Therapy Assistant South Bend, IN NPI 1902562622
- Amanda Leigh Dehn, FNP-BCNurse Practitioner South Bend, IN NPI 1174984413
Other surgical physician assistant providers in South Bend
About NPI 1679176200
Benjamin Haberly's National Provider Identifier is 1679176200, issued on Nov 17, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Bend, IN. The record was last updated on Jan 16, 2025.