Provider Demographics
NPI:1669041208
Name:BABICH, BENJAMIN MANUEL
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:MANUEL
Last Name:BABICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 ANNAGLADYS DR # G3
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4806
Mailing Address - Country:US
Mailing Address - Phone:740-262-6217
Mailing Address - Fax:
Practice Address - Street 1:912 ANNAGLADYS DR # G3
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4806
Practice Address - Country:US
Practice Address - Phone:740-262-6217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHIL.03388237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist