Branden Earl Hensel

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Smith River, CA

NPI 1982442018 · NPPES record last updated Jul 15, 2024

Key facts

NPI
1982442018
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
F1410067 (CA)
Practice address
17233 US Highway 101 N
Smith River, CA 95567-9406
Phone
(707) 954-9134
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F1410067CAMDNon-emergency Medical Transport (VAN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X F1410067 CA Yes

Addresses

Primary practice location

17233 US Highway 101 N
Smith River, CA 95567-9406

Mailing address

17233 US Highway 101 N
Smith River, CA 95567-9406
Phone (707) 954-9134

Other providers in Smith River, CA

All providers in Smith River, CA · Non-emergency Medical Transport (VAN) in California

Sources for this page

Verify at the official NPI Registry.