Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 2013013327 | MO |
N | 111NS0005X | Chiropractic Sports Physician | 2013013327 | MO |
NPI | 1942646609 |
---|---|
Provider Name | Danielle Nichole Engle |
First Address | Chesterfield, MO 63017-5740 |
Second Address | Chesterfield, MO 63017-5740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 17/06/2013 |