Provider Demographics
NPI:1861602195
Name:ENGEL, DANIEL CHARLES (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CHARLES
Last Name:ENGEL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52710 TRINTER RD
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-9407
Mailing Address - Country:US
Mailing Address - Phone:440-242-5935
Mailing Address - Fax:440-963-4043
Practice Address - Street 1:52710 TRINTER RD
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-9407
Practice Address - Country:US
Practice Address - Phone:440-242-5935
Practice Address - Fax:440-963-4043
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 253361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse