MEDICARE: PAUL HENRY JUENGEL MD

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	207Y00000X	Otolaryngology Physician	30050	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	040012012	OTHER		RAILROAD MEDICARE
10	8608	OTHER		MEDICARE PARTNERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1001769	OTHER		UNITED HEALTHCARE
2	13699	OTHER		WELLPATH
3	47632	OTHER	NC	BCBS
4	6810958002	OTHER		CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	26168	OTHER		MEDCOST
8	288790	OTHER		MAMSI
9	4590481	OTHER		AETNA

General Provider Information

NPI Number	:	1700873940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL HENRY JUENGEL MD

Provider Business Mailing Address
First Line	:	PO BOX 2
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27216-0002
Country	:	US
Telephone Number	:	336-226-0660
Fax Number	:	336-227-6327

Provider Business Practice Location Address
First Line	:	3940 ARROWHEAD BLVD
Second Line	:	STE 210
City	:	MEBANE
State	:	NC
Zip	:	27302-7637
Country	:	US
Telephone Number	:	919-563-9705
Fax Number	:	919-304-0057

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	06/28/2022

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Directions to “ PAUL HENRY JUENGEL MD” Practice Location

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