Engel, Ivan J

Engel, Ivan J is an individual health care provider with primary practice located at 4451 E Oak St , Phoenix AZ 85008-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Engel, Ivan J can be contacted via phone (602) 808-2800.

Contact Information

Primary practice address
4451 E Oak St Phoenix AZ 85008-2410
Phone: (602) 808-2800
Fax: (602) 808-2799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44972 Arizona

Profile Details

NPI number 1598737363
LBN Legal business name Engel, Ivan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Oct 29th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598737363 NPPES
Arizona MEDICAID 678797

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