Provider Demographics
NPI:1750583555
Name:ROGNE, BARBARA FAY (DC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:FAY
Last Name:ROGNE
Suffix:
Gender:F
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:PO BOX 5659
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-5659
Mailing Address - Country:US
Mailing Address - Phone:602-722-8178
Mailing Address - Fax:480-659-5725
Practice Address - Street 1:35 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-2304
Practice Address - Country:US
Practice Address - Phone:602-722-8178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0940940OtherBLUECROSSBLUESHIELD
AZ4887OtherLICENSE#