Engelstatter, Gerolf

Engelstatter, Gerolf is an sole proprietor health care provider with primary practice located at 1703 Country Club Rd Suite 204, Jacksonville NC 28546-6006. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Engelstatter, Gerolf can be contacted via phone (910) 347-3010.

Contact Information

Primary practice address
1703 Country Club Rd Suite 204 Jacksonville NC 28546-6006
Phone: (910) 347-3010
Fax: (910) 347-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1140 North Carolina

Profile Details

NPI number 1932185477
LBN Legal business name Engelstatter, Gerolf
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Mar 28th, 2023 - about last year

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 1932185477 NPPES
North Carolina MEDICAID 6000579
North Carolina Other 04581

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