Provider Demographics
NPI:1568768331
Name:VOGUE, STEVEN WINSLOW (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WINSLOW
Last Name:VOGUE
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:VOGUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC, ND
Mailing Address - Street 1:2855 CORDREY DR
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-5109
Mailing Address - Country:US
Mailing Address - Phone:760-450-7247
Mailing Address - Fax:
Practice Address - Street 1:2855 CORDREY DR
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-5109
Practice Address - Country:US
Practice Address - Phone:760-450-7247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12568111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition