Healthcare Provider Details

I. General information

NPI: 1821633983
Provider Name (Legal Business Name): LINLEE ENGDAHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 ROLLING HILLS CIR
EASLEY SC
29640-7124
US

IV. Provider business mailing address

309 ROLLING HILLS CIR
EASLEY SC
29640-7124
US

V. Phone/Fax

Practice location:
  • Phone: 864-644-9009
  • Fax:
Mailing address:
  • Phone: 864-644-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-0658
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: