| Engleman Clinical Staffing, Llc | |
|
14533 Sedgwick Ct Granger IN 46530-4870 | |
| (574) 400-0668 | |
| (574) 400-0668 |
| Full Name | Engleman Clinical Staffing, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14533 Sedgwick Ct, Granger, Indiana |
| Authorized Official Name and Position | Jacqueline Mokfi (OWNER) |
| Authorized Official Contact | 5744000668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Engleman Clinical Staffing, Llc 14533 Sedgwick Ct. Granger IN 46530 Ph: (574) 400-0668 | Engleman Clinical Staffing, Llc 14533 Sedgwick Ct Granger IN 46530-4870 Ph: (574) 400-0668 |
| NPI Number | 1477052454 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Medicare PECOS PAC ID | 3173887544 |
|---|---|
| Medicare Enrollment ID | O20180511000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477052454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shaya Mokfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952151 PECOS PAC ID: 8426110735 Enrollment ID: I20100729000027 |
| Provider Name | Jacqueline Md Mokfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740454305 PECOS PAC ID: 8123263894 Enrollment ID: I20130329000013 |
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