Provider Demographics
NPI:1013074624
Name:VOIGT, ERIC EDGAR (DC DACNB)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:EDGAR
Last Name:VOIGT
Suffix:
Gender:M
Credentials:DC DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 CASCADE STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2060
Mailing Address - Country:US
Mailing Address - Phone:541-387-2225
Mailing Address - Fax:541-387-2227
Practice Address - Street 1:509 CASCADE STREET
Practice Address - Street 2:SUITE E
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2060
Practice Address - Country:US
Practice Address - Phone:541-387-2225
Practice Address - Fax:541-387-2227
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR112101Medicare ID - Type Unspecified