Provider Demographics
NPI:1154529246
Name:ENGELEN, MEGAN JEANETTE (DO)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JEANETTE
Last Name:ENGELEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:STE 202
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4349
Mailing Address - Country:US
Mailing Address - Phone:724-229-7570
Mailing Address - Fax:724-229-7571
Practice Address - Street 1:190 N MAIN ST
Practice Address - Street 2:STE 202
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4349
Practice Address - Country:US
Practice Address - Phone:724-229-7570
Practice Address - Fax:724-229-7571
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017803207R00000X
UT8262344-1204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine