Provider Demographics
NPI:1295804607
Name:ENGEL, FRANCIS (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:ENGEL
Suffix:
Gender:M
Credentials:DO
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 6309
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46660-6309
Mailing Address - Country:US
Mailing Address - Phone:574-335-8707
Mailing Address - Fax:574-335-0750
Practice Address - Street 1:611 E DOUGLAS RD
Practice Address - Street 2:STE 105
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1464
Practice Address - Country:US
Practice Address - Phone:574-335-6599
Practice Address - Fax:574-335-0818
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000681A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100443310Medicaid
IN100443310Medicaid
INC25578LMedicare UPIN
IN187730003Medicare PIN
ININ1133001Medicare PIN