Individual
DR. NANCY TERESE ENGELHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
525 B WAPELLO ST S, MEDIAPOLIS, IA 52637
(319) 394-9601
Mailing address
PO BOX 366, MEDIAPOLIS, IA 52637
(319) 394-9601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06153
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01847
BLUE CROSS BLUE SHIELD
IA
05
—
0192013
—
IA
Enumeration date
01/24/2007
Last updated
12/15/2007
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