MEDICARE: DR. JOEL EUGENE ENGLER D.C.

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	111N00000X	Chiropractor	1589	NE

General Provider Information

NPI Number	:	1104124957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL EUGENE ENGLER D.C.

Provider Business Mailing Address
First Line	:	2001 E DAVIS RD
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-8960
Country	:	US
Telephone Number	:	308-520-7436
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 EAST DAVIS RD
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-8960
Country	:	US
Telephone Number	:	308-520-7436
Fax Number	:

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

Provider Enumeration Date	:	03/03/2011
Last Update Date	:	03/03/2011

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