Healthcare Provider Details

I. General information

NPI: 1447662960
Provider Name (Legal Business Name): JANET ENG, D.O. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 RAMBLEWOOD DR
EAST LANSING MI
48823-7398
US

IV. Provider business mailing address

3810 ROYALE DR
HOLT MI
48842-9758
US

V. Phone/Fax

Practice location:
  • Phone: 517-324-9400
  • Fax:
Mailing address:
  • Phone: 517-272-2949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number5101011825
License Number StateMI

VIII. Authorized Official

Name: DR. JANET ENG
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 517-272-2949