MEDICARE: JOSEPH HENSLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD15978	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043215882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH HENSLEY

Provider Business Mailing Address
First Line	:	PO BOX 383
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-0383
Country	:	US
Telephone Number	:	931-796-5943
Fax Number	:	931-796-1269

Provider Business Practice Location Address
First Line	:	507 W MAIN ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1319
Country	:	US
Telephone Number	:	931-796-5943
Fax Number	:	931-796-1269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/07/2022

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Directions to “ JOSEPH HENSLEY ” Practice Location

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