Engman, Jonathan H

Engman, Jonathan H is an individual health care provider with primary practice located at 6533 Drew Ave S , Edina MN 55435-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Engman, Jonathan H can be contacted via phone (952) 927-7138.

Contact Information

Primary practice address
6533 Drew Ave S Edina MN 55435-2103
Fax: (952) 924-4021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 47408 Minnesota

Profile Details

NPI number 1649242918
LBN Legal business name Engman, Jonathan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 25th, 2021 - about 3 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 1649242918 NPPES
Minnesota MEDICAID 510602800

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