Provider Demographics
NPI:1285657551
Name:HENSLEE, DON LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:LEWIS
Last Name:HENSLEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-0277
Mailing Address - Country:US
Mailing Address - Phone:402-729-3351
Mailing Address - Fax:
Practice Address - Street 1:2200 H ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-1119
Practice Address - Country:US
Practice Address - Phone:402-729-3351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15241208800000X
MOR3J60208800000X
NE19060208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
06067OtherBLUE CROSS BLUE SHIELD
1900049OtherUNITED HEALTH CARE
340006942OtherRR MEDICARE
1251OtherMIDLANDS CHOICE
262059Medicare ID - Type Unspecified