MEDICARE: RONALD W ENGLER DC, PTA

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	6170	CO

General Provider Information

NPI Number	:	1255513081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD W ENGLER DC, PTA

Provider Business Mailing Address
First Line	:	2148 BROADWAY STE C3
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-1098
Country	:	US
Telephone Number	:	970-243-5164
Fax Number	:

Provider Business Practice Location Address
First Line	:	2148 BROADWAY STE C3
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-1098
Country	:	US
Telephone Number	:	970-243-5164
Fax Number	:

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

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	06/18/2016

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