Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC003104L | PA |
Y | 222Z00000X | Podiatrist | SC003104L | PA |
NPI | 1003874512 |
---|---|
Provider Name | Dr. Joseph P Hensley |
First Address | York, PA 17402-3030 |
Second Address | York, PA 17402-3030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 22/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T30499 | (02) |