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Benjamin Haberly — NPI 1679176200, South Bend, IN | NPI Central

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NPI 1679176200

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Benjamin Haberly

NPI 1679176200 · Surgical Physician Assistant · South Bend, IN

Provider details

NPI number: 1679176200
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: 10003022A (IN)

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense 10003022A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 10003022A (IN)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

53880 Carmichael Dr

South Bend, IN 46635-1567

Phone: (574) 247-9441

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

3600 W Bethel Ave

Muncie, IN 47304-5407

Additional practice locations (3)

303 S Nappanee St Ste F
Elkhart, IN 46514-2066
Phone: (574) 247-9441
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone: (574) 247-9441
2349 Lake Ave Ste 201
Plymouth, IN 46563-7837
Phone: (574) 247-9441

Registry dates

Enumerated: 2020-11-17
Last updated: 2025-01-16
Certified: 2025-01-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.