Provider Demographics
NPI:1649364753
Name:BHOGAL, RAMNEEK SINGH (BS, DC)
Entity type:Individual
Prefix:DR
First Name:RAMNEEK
Middle Name:SINGH
Last Name:BHOGAL
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2711 W 63RD ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-1647
Mailing Address - Country:US
Mailing Address - Phone:563-359-1455
Mailing Address - Fax:563-359-1498
Practice Address - Street 1:2711 W 63RD ST
Practice Address - Street 2:SUITE #4
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-1647
Practice Address - Country:US
Practice Address - Phone:563-359-1455
Practice Address - Fax:563-359-1498
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA06504111NI0900X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist