Engel, Eric Bryan

Engel, Eric Bryan is an individual health care provider with primary practice located at 1106 W Jackson St , Ozark MO 65721-9164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Engel, Eric Bryan can be contacted via phone (417) 581-3548.

Contact Information

Primary practice address
1106 W Jackson St Ozark MO 65721-9164
Phone: (417) 581-3548
Fax: (417) 581-6164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2014032125 Missouri

Profile Details

NPI number 1659444305
LBN Legal business name Engel, Eric Bryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Sep 22nd, 2014 - about 11 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 1659444305 NPPES
Texas Other 8Y2074 BCBS
Texas MEDICAID 188436301 BCBS

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