Provider Demographics
NPI:1639398167
Name:ENGEL, DAVID PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
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 1:3361 EXECUTIVE PKWY
Mailing Address - Street 2:SUITE #303
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1377
Mailing Address - Country:US
Mailing Address - Phone:419-537-5454
Mailing Address - Fax:
Practice Address - Street 1:3361 EXECUTIVE PKWY
Practice Address - Street 2:SUITE #303
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1377
Practice Address - Country:US
Practice Address - Phone:419-537-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH748111NN1001X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician