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NPI Code Detail

MEDICARE: MS. JOHNNIE-JEAN ENGLE

MEDICARE: MS. JOHNNIE-JEAN ENGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist17001318AIN

General Provider Information

NPI Number : 1033519913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOHNNIE-JEAN ENGLE
Provider Business Mailing Address
First Line : 596 S SWALLOW RD
Second Line :
City : CAMBRIDGE CITY
State : IN
Zip : 47327-9410
Country : US
Telephone Number : 765-977-1940
Fax Number :
Provider Business Practice Location Address
First Line : 596 S SWALLOW RD
Second Line :
City : CAMBRIDGE CITY
State : IN
Zip : 47327-9410
Country : US
Telephone Number : 765-977-1940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

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Directions to “ MS. JOHNNIE-JEAN ENGLE ” Practice Location

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