Hensley, Samuel D

Hensley, Samuel D is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hensley, Samuel D can be contacted via phone (601) 355-1234.

Contact Information

Primary practice address
2510 Lakeland Dr Flowood MS 39232-9513
Fax: (601) 326-3559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 12771 Mississippi
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 12771 Mississippi

Profile Details

NPI number 1801884234
LBN Legal business name Hensley, Samuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Sep 20th, 2017 - about 9 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 1801884234 NPPES
Mississippi MEDICAID 00117060

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