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Contact Information

STEVEN R ENGEBRETSEN
9300 VALLEY CHILDREN'S PL, SE18
MADERA, CA93636
 Phone: 559-353-6453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEVEN R ENGEBRETSEN · (Male)

NPI # 1205337292
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2018
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A21193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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