Provider Demographics
NPI:1073755229
Name:BIGOGNO, DEBORAH NN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:NN
Last Name:BIGOGNO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11791 W 112TH ST
Mailing Address - Street 2:STE 103
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2737
Mailing Address - Country:US
Mailing Address - Phone:913-345-9111
Mailing Address - Fax:913-345-9111
Practice Address - Street 1:11791 W 112TH ST
Practice Address - Street 2:STE 103
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2725
Practice Address - Country:US
Practice Address - Phone:913-345-9111
Practice Address - Fax:913-345-9111
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor