DEREK ENGLER NPI 1104367218

NPI Information

NPI: 1104367218
Provider Name: DEREK ENGLER
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
1012 MAVOR ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 360-7642
Get Directions

Derek Engler is a developmental disabilities clinic center in Springfield, OH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Derek Engler NPI is 1104367218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1012 MAVOR ST
SPRINGFIELD, OH
ZIP 45505-848
Phone: (937) 360-7642

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	1204486	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1204486	OTHER	OHIO	DODD CONTRACT NUMBER
2	0208810	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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