Bogaart, Eric Kenneth
Bogaart, Eric Kenneth is an individual health care provider with primary practice located at 907 Tullar Rd , Neenah WI 54956-3617. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bogaart, Eric Kenneth can be contacted via phone (920) 722-9200.Contact Information
Primary practice address
907 Tullar Rd
Neenah WI 54956-3617
Phone: (920) 722-9200
Fax: (920) 722-9202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4143-012 | Wisconsin |
Profile Details
| NPI number | 1003992835 |
|---|---|
| LBN Legal business name | Bogaart, Eric Kenneth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jan 15th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003992835 | NPPES |
| Wisconsin | MEDICAID | 38964100 |
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