Samuel Engebose, PT, DPT is a
Physical Therapist based in Goose Creeek, South Carolina. Samuel Engebose is licensed to practice in North Carolina (license number P18819) and his current practice location is
2418 Nnptc Circle, Goose Creeek, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 577-5011.
NPI number for Samuel Engebose is 1942862313 and his current mailing address is 109 Bee Street, Rehab Med. 117, Charleston, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942862313.
Healthcare Provider's Profile
| Full Name | Samuel Engebose |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
|---|
| Location | 2418 Nnptc Circle, Goose Creeek, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942862313
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 07/05/2019
Medical Identifiers
Medical identifiers for Samuel Engebose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942862313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (North Carolina) | Secondary |
| 225100000X | Physical Therapist | P18819 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Engebose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Engebose, PT, DPT
109 Bee Street, Rehab Med. 117,
Charleston, SC 29401
Ph: () - | Samuel Engebose, PT, DPT
2418 Nnptc Circle,
Goose Creeek, SC 29445
Ph: (843) 577-5011 |
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