Henseler, Laura J

Henseler, Laura J is an individual health care provider with primary practice located at 146 W River St # 11A , Providence RI 02904-2609. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Henseler, Laura J can be contacted via phone (401) 793-8770.

Contact Information

Primary practice address
146 W River St # 11A Providence RI 02904-2609
Phone: (401) 793-8770
Fax: (401) 793-8709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10303 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD10303 Rhode Island
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD10303 Rhode Island

Profile Details

NPI number 1073575049
LBN Legal business name Henseler, Laura J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Nov 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073575049 NPPES
Rhode Island MEDICAID PENDING

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