Provider Demographics
NPI:1689639767
Name:HENSLER, DANIEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:HENSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 CULPEPPER DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1105
Mailing Address - Country:US
Mailing Address - Phone:814-964-8745
Mailing Address - Fax:
Practice Address - Street 1:132 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:SPARTANSBURG
Practice Address - State:PA
Practice Address - Zip Code:16434-1026
Practice Address - Country:US
Practice Address - Phone:814-964-8745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1647734OtherHIGHMARK BCBS
PAV01923Medicare UPIN
PA084543Medicare PIN
PA1647734OtherHIGHMARK BCBS