Provider Demographics
NPI:1932311677
Name:HENSLER SERVICES, INC.
Entity Type:Organization
Organization Name:HENSLER SERVICES, INC.
Other - Org Name:HENSLER WEIGHT LOSS CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-644-3626
Mailing Address - Street 1:1010 W 8TH ST
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-2659
Mailing Address - Country:US
Mailing Address - Phone:765-644-3626
Mailing Address - Fax:765-644-1667
Practice Address - Street 1:1010 W 8TH ST
Practice Address - Street 2:SUITE # 2
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-2659
Practice Address - Country:US
Practice Address - Phone:765-644-3626
Practice Address - Fax:765-644-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN=========OtherTAX IDENTIFICATION