Provider Demographics
NPI:1184013047
Name:ENGH, VIRGINIA JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:JEAN
Last Name:ENGH
Suffix:
Gender:F
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:PO BOX 781
Mailing Address - Street 2:
Mailing Address - City:MOHALL
Mailing Address - State:ND
Mailing Address - Zip Code:58761-0781
Mailing Address - Country:US
Mailing Address - Phone:701-240-2789
Mailing Address - Fax:
Practice Address - Street 1:101 INDUSTRIAL AVE STE C
Practice Address - Street 2:
Practice Address - City:MOHALL
Practice Address - State:ND
Practice Address - Zip Code:58761-4101
Practice Address - Country:US
Practice Address - Phone:701-756-6530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor