Provider Demographics
NPI:1235749201
Name:HENSLER, PAUL W
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:HENSLER
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 1:277 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:WV
Mailing Address - Zip Code:26704-8316
Mailing Address - Country:US
Mailing Address - Phone:540-539-8857
Mailing Address - Fax:
Practice Address - Street 1:277 LAKE DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:WV
Practice Address - Zip Code:26704-8316
Practice Address - Country:US
Practice Address - Phone:540-539-8857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant