Provider Demographics
NPI:1396900999
Name:ENGELBRECHT, JOHN EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:ENGELBRECHT
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 1:2024 N POINT BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4115
Mailing Address - Country:US
Mailing Address - Phone:850-668-7062
Mailing Address - Fax:
Practice Address - Street 1:2024 N POINT BLVD
Practice Address - Street 2:STE A
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4184
Practice Address - Country:US
Practice Address - Phone:850-668-7062
Practice Address - Fax:850-386-5795
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor