Healthcare Provider Details

I. General information

NPI: 1649164047
Provider Name (Legal Business Name): JAMES HENSEL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 STATE ROUTE 821 STE A
MARIETTA OH
45750-5800
US

IV. Provider business mailing address

PO BOX 462
BELPRE OH
45714-0462
US

V. Phone/Fax

Practice location:
  • Phone: 740-371-4617
  • Fax:
Mailing address:
  • Phone: 740-371-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: