Provider Demographics
NPI:1275503682
Name:ENGLE, JANET M (MD)
Entity Type:Individual
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First Name:JANET
Middle Name:M
Last Name:ENGLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1749
Mailing Address - Street 2:C/O DEB NOVAK
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-1749
Mailing Address - Country:US
Mailing Address - Phone:970-926-6340
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:377 SYLVAN LAKE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631
Practice Address - Country:US
Practice Address - Phone:970-328-1650
Practice Address - Fax:970-328-1651
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2011-12-06
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Provider Licenses
StateLicense IDTaxonomies
CO41441208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17304334Medicaid
H57205Medicare UPIN
CO17304334Medicaid