Individual
ALVIN LEROY HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G24800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G248000
—
CA
01
—
00G248002
MEDICARE PATN
CA
01
—
00G248003
MEDICARE PTAN
CA
01
—
00G248004
MEDICARE PTAN
CA
01
—
00G248005
MEDICARE PTAN
CA
01
—
P00300550
RAILROAD
CA
01
—
P00312557
RAILROAD
CA
Enumeration date
06/16/2006
Last updated
02/28/2013
Update your record
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