Engle, Marta A

Engle, Marta A is an individual health care provider with primary practice located at 434 Eastland Rd , Berea OH 44017-1217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Engle, Marta A can be contacted via phone (440) 260-8327.

Contact Information

Primary practice address
434 Eastland Rd Berea OH 44017-1217
Phone: (440) 260-8327
Fax: (440) 260-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1100211 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1100211 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1100211 Ohio

Profile Details

NPI number 1891075669
LBN Legal business name Engle, Marta A
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Jul 18th, 2016 - about 10 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 1891075669 NPPES
Ohio MEDICAID 0268768
Ohio MEDICAID 2871101

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