Basic Information
Provider Information
NPI: 1194855643
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ENGLEHART
FirstName: SUSAN
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1339
Address2:  
City: WHITTIER
State: NC
PostalCode: 287891339
CountryCode: US
TelephoneNumber: 8284976468
FaxNumber:  
Practice Location
Address1: 1504 SW 8TH AVE
Address2: DR. GOLDING AND ASSOC, KANSAS REHAB HOSP
City: TOPEKA
State: KS
PostalCode: 666061632
CountryCode: US
TelephoneNumber: 7852328566
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/06/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X0427948KSY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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