Individual
DR. DEANNA JEAN ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
103 NORTH AVE, STE 4, COUNCIL BLUFFS, IA 51503-1670
(712) 322-8504
(402) 614-5823
Mailing address
502 N 40TH ST, OMAHA, NE 68131-1823
(402) 515-0899
(402) 614-5823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
000972
NE
111N00000X
Chiropractor
Primary
04927
IA
111NR0400X
Rehabilitation Chiropractor
000972
NE
111NR0400X
Rehabilitation Chiropractor
004927
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350038039
PALMETTO GBA RAILROAD MED
IA
Enumeration date
02/13/2008
Last updated
10/21/2013
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