Provider Demographics
NPI:1487646626
Name:ENGEL, CHRISTOPHER MARVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARVIN
Last Name:ENGEL
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 1:606 39TH AVE
Mailing Address - Street 2:PO BOX 302
Mailing Address - City:AMANA
Mailing Address - State:IA
Mailing Address - Zip Code:52203-8016
Mailing Address - Country:US
Mailing Address - Phone:319-622-3322
Mailing Address - Fax:319-622-3323
Practice Address - Street 1:606 39TH AVE
Practice Address - Street 2:
Practice Address - City:AMANA
Practice Address - State:IA
Practice Address - Zip Code:52203-8016
Practice Address - Country:US
Practice Address - Phone:319-622-3322
Practice Address - Fax:319-622-3323
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA05354OtherBC/BS OF IOWA
IA1077115Medicaid
IA05354OtherBC/BS OF IOWA
IA1077115Medicaid