NPI

William C Henshaw

NPI 1205940889

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
OD
Type
Individual
Enumeration date
2006-08-19
Last updated
2023-03-07

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Specialties

Licenses

License CA
5036 TPA
License CA
50360 TPA

Location

Practice location
801 S Fairmont Ave Ste 5
City
Lodi CA
Postal code
95240-5106
Phone
(209) 334-2020

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Lodi, CA. 1,310 records in the public file.

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