Provider Demographics
NPI:1033500160
Name:ENGELHARDT, PATRICK RYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:RYAN
Last Name:ENGELHARDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 S 8TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1985
Mailing Address - Country:US
Mailing Address - Phone:719-301-7450
Mailing Address - Fax:719-213-2568
Practice Address - Street 1:1779 S 8TH ST STE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1985
Practice Address - Country:US
Practice Address - Phone:719-301-7450
Practice Address - Fax:719-213-2568
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor