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NPI Code Detail

MEDICARE: DR. JOHN P ENGLER PH.D.

MEDICARE: DR. JOHN P ENGLER PH.D.
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
1103TC0700XClinical Psychologist23NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164426037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN P ENGLER PH.D.
Provider Business Mailing Address
First Line : 19903 OAK ST
Second Line :
City : GRETNA
State : NE
Zip : 68028-7014
Country : US
Telephone Number : 402-677-1559
Fax Number :
Provider Business Practice Location Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number : 402-294-7411
Fax Number : 402-942-7085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/26/2018

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