Engelmann, Theodore George

Engelmann, Theodore George is an individual health care provider with primary practice located at 1990 Union Lake Rd Ste 100 , Commerce Twp MI 48382-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Engelmann, Theodore George can be contacted via phone (248) 303-4680.

Contact Information

Primary practice address
1990 Union Lake Rd Ste 100 Commerce Twp MI 48382-2200
Phone: (248) 303-4680
Fax: (248) 572-4995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TE007018 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X TE007018 Michigan

Profile Details

NPI number 1952323016
LBN Legal business name Engelmann, Theodore George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 15th, 2024 - about 2 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 1952323016 NPPES
Michigan Other 0F34006 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4861124 BLUE CROSS BLUE SHIELD
Michigan Other 0H74439 BLUE CROSS BLUE SHIELD

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