Engstrom, John Walter
Engstrom, John Walter is an individual health care provider with primary practice located at 400 Parnassus Ave , San Francisco CA 94143-2202. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Engstrom, John Walter can be contacted via phone (415) 353-2273.Contact Information
Primary practice address
400 Parnassus Ave
San Francisco CA 94143-2202
Phone: (415) 353-2273
Fax: (415) 353-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G52739 | California |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | G52739 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G52739 | California |
Profile Details
| NPI number | 1265469878 |
|---|---|
| LBN Legal business name | Engstrom, John Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Oct 13th, 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 | 1265469878 | NPPES |
| California | MEDICAID | 00G527390 |
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