Provider Demographics
NPI:1811028400
Name:ENGSTROM SERVICES, INC
Entity Type:Organization
Organization Name:ENGSTROM SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:ZINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-622-4397
Mailing Address - Street 1:5600 BRAINERD RD STE G30
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5347
Mailing Address - Country:US
Mailing Address - Phone:423-622-4397
Mailing Address - Fax:423-624-6519
Practice Address - Street 1:5600 BRAINERD RD STE G30
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5347
Practice Address - Country:US
Practice Address - Phone:423-622-4397
Practice Address - Fax:423-624-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management