Provider Demographics
NPI:1245580703
Name:VOEGELE, TRAVIS JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:JASON
Last Name:VOEGELE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:ND
Mailing Address - Zip Code:58523-6909
Mailing Address - Country:US
Mailing Address - Phone:763-954-0425
Mailing Address - Fax:701-873-7718
Practice Address - Street 1:212 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:ND
Practice Address - Zip Code:58523-6970
Practice Address - Country:US
Practice Address - Phone:701-873-7677
Practice Address - Fax:701-873-7718
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor