Doctor Name: | DR. JOHN A ENGLER |
NPI Number: | 1750587036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 260233 |
Business Practice Address: | 620 John Paul Jones Circle Naval Medical Center Portsmouth Portsmouth, VA - 23708 |
Business Phone Number: | 7579539390 |
Business Fax Number: | |
Mailing Address: | 620 John Paul Jones Circle, Naval Medical Center Portsmouth PORTSMOUTH |
State: | VA |
Postal Code: | 23708 |
Phone Number: | 7579539390 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 260233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |