Individual
DEREK ENGLER
Active
Individual
DEREK ENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1204486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208810
—
OH
01
—
1204486
DODD CONTRACT NUMBER
OH
Enumeration date
03/09/2017
Last updated
03/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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