Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101041575 | VA |
NPI | 1457305633 |
---|---|
Provider Name | Dr. C Anderson Engh JR. |
First Address | Arlington, VA 22206-2905 |
Second Address | Alexandria, VA 22306-3209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 02/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00098 | UNITED ID (01) | |
0499710 | AETNA HMO (01) | |
099069 | ANTHEM ID (01) | |
1475047 | CIGNA ID (01) | |
148820100 | DEPT OF LABOR ID (01) | |
212639 | MAMSI ID (01) | |
25090029 | BLUE CROSS/BLUE SHIELD (01) | |
4304586 | AETNA PPO (01) | |
5016308 | FIRST HEALTH (01) | |
502344 | NCPPO (01) | |
E67331 | (02) | VA |