Engelhardt, Jonathan Todd

Engelhardt, Jonathan Todd is an sole proprietor health care provider with primary practice located at 2500 Grant Rd , Mountain View CA 94040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Engelhardt, Jonathan Todd can be contacted via phone (650) 940-7000.

Contact Information

Primary practice address
2500 Grant Rd Mountain View CA 94040
Phone: (650) 940-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32462 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A89837 California

Profile Details

NPI number 1003897117
LBN Legal business name Engelhardt, Jonathan Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Sep 30th, 2019 - about 5 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 1003897117 NPPES
Arizona Other 39-81220 EVERCARE GROUP
Arizona Other 453051001 EVERCARE GROUP
Arizona Other AZ0728670 EVERCARE GROUP
Arizona Other 86-0373636 EVERCARE GROUP
Arizona MEDICAID 884016 EVERCARE GROUP
Arizona Other AW1436 EVERCARE GROUP

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