Healthcare Provider Details

I. General information

NPI: 1780596494
Provider Name (Legal Business Name): DANIEL ENGEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 KING CT
KEENE NH
03431-4649
US

IV. Provider business mailing address

88 ROXBURY ST APT 3
KEENE NH
03431-3291
US

V. Phone/Fax

Practice location:
  • Phone: 866-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone: 866-534-2639
  • Fax: 800-480-7578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: