Provider Demographics
NPI:1881847267
Name:ENGELBRECHT CHIROPRACTIC AND REHABILITATION PL
Entity Type:Organization
Organization Name:ENGELBRECHT CHIROPRACTIC AND REHABILITATION PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ENGELBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-668-7062
Mailing Address - Street 1:3116 CAPITAL CIR NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-7790
Mailing Address - Country:US
Mailing Address - Phone:850-668-7062
Mailing Address - Fax:850-386-5795
Practice Address - Street 1:3116 CAPITAL CIR NE
Practice Address - Street 2:SUITE 1
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-7790
Practice Address - Country:US
Practice Address - Phone:850-668-7062
Practice Address - Fax:850-386-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty