Individual
DR. ERIC KENNETH BOGAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
907 TULLAR RD, NEENAH, WI 54956-3617
(920) 722-9200
(920) 722-9202
Mailing address
907 TULLAR RD, NEENAH, WI 54956-3617
(920) 722-9200
(920) 722-9202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4143-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38964100
—
WI
Enumeration date
10/27/2006
Last updated
01/15/2018
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