Healthcare Provider Details

I. General information

NPI: 1831023720
Provider Name (Legal Business Name): ELIZABETH ENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH GIGER

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E APPLE ST STE 268
DAYTON OH
45409-2932
US

IV. Provider business mailing address

30 E APPLE ST STE 268
DAYTON OH
45409-2932
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-9969
  • Fax: 937-208-5566
Mailing address:
  • Phone: 937-208-9969
  • Fax: 937-208-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.397613
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: