| Daniel R Englert Md Llc | |
|
101 Bob Wallace Ave Sw Ste D Huntsville AL 35801-3843 | |
| (256) 503-1109 | |
| Not Available |
| Full Name | Daniel R Englert Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Bob Wallace Ave Sw Ste D, Huntsville, Alabama |
| Authorized Official Name and Position | Daniel Reis Englert (PRESIDENT) |
| Authorized Official Contact | 2565171507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R Englert Md Llc 101 Bob Wallace Ave Sw Ste D Huntsville AL 35801-3843 Ph: (256) 517-1507 | Daniel R Englert Md Llc 101 Bob Wallace Ave Sw Ste D Huntsville AL 35801-3843 Ph: (256) 503-1109 |
| NPI Number | 1457962508 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 5890112114 |
|---|---|
| Medicare Enrollment ID | O20200901003387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457962508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Daniel Reis Englert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760916282 PECOS PAC ID: 1658642012 Enrollment ID: I20200901003435 |
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