Engler, Derek
Engler, Derek is an sole proprietor health care provider with primary practice located at 1012 Mavor St , Springfield OH 45505-2848. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Engler, Derek can be contacted via phone (937) 360-7642.Contact Information
Primary practice address
1012 Mavor St
Springfield OH 45505-2848
Phone: (937) 360-7642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | 1204486 | Ohio |
Profile Details
| NPI number | 1104367218 |
|---|---|
| LBN Legal business name | Engler, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2017 |
| Last updated | Mar 9th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104367218 | NPPES |
| Ohio | MEDICAID | 0208810 | |
| Ohio | Other | 1204486 |
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