MEDICARE: DR. SANDRA KAY ENGELBERTH AUD

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
1	231H00000X	Audiologist	23001826	IN
2	237600000X	Audiologist-Hearing Aid Fitter	23001826	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346363777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA KAY ENGELBERTH AUD

Provider Business Mailing Address
First Line	:	1610 E CENTER ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3651
Country	:	US
Telephone Number	:	574-269-5828
Fax Number	:	574-269-7714

Provider Business Practice Location Address
First Line	:	1610 E CENTER ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3651
Country	:	US
Telephone Number	:	574-269-5828
Fax Number	:	574-269-7714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	09/11/2025

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