MR. BRENT ADAM ENGSTROM NPI 1558858936

NPI Information

  • NPI: 1558858936
  • Provider Name: MR. BRENT ADAM ENGSTROM
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1410 NTH 23RD STREET
    SUPERIOR, WI
    ZIP 54880
  • Phone: (218) 591-5016

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NPI Details

MR. Brent Adam Engstrom is a student in an organized health care education training program in Superior, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Brent Adam Engstrom NPI is 1558858936. 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:

1410 NTH 23RD STREET
SUPERIOR, WI
ZIP 54880
Phone: (218) 591-5016

The enumeration date for this NPI number is 4/20/2018 and was last updated on 4/20/2018.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramWISCONSINYes

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: 11/21/2025

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