Provider Demographics
NPI:1922144187
Name:VOGELSONG FAMILY CHIROPRACTIC, LTD.
Entity Type:Organization
Organization Name:VOGELSONG FAMILY CHIROPRACTIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VOGELSONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-766-9490
Mailing Address - Street 1:400 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDARVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45314-9508
Mailing Address - Country:US
Mailing Address - Phone:937-766-9490
Mailing Address - Fax:
Practice Address - Street 1:400 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDARVILLE
Practice Address - State:OH
Practice Address - Zip Code:45314-9508
Practice Address - Country:US
Practice Address - Phone:937-766-9490
Practice Address - Fax:937-766-9492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHVO9330091Medicare ID - Type UnspecifiedMEDICARE