Engel, John J

Engel, John J is an sole proprietor health care provider with primary practice located at 15 Cleveland Ave Suite 14 Childrens Medical Center Ltd, Martinsville VA 24112-2937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Engel, John J can be contacted via phone (276) 632-9714.

Contact Information

Primary practice address
15 Cleveland Ave Suite 14 Childrens Medical Center Ltd Martinsville VA 24112-2937
Phone: (276) 632-9714
Fax: (276) 632-0620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101023866 Virginia

Profile Details

NPI number 1679562102
LBN Legal business name Engel, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jun 28th, 2012 - about 14 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 1679562102 NPPES
Virginia Other 016461 BLUE CROSS
Virginia MEDICAID 6748678 BLUE CROSS

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