Provider Demographics
NPI:1952603938
Name:KOGLER, PHILIP FRANKLIN (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:FRANKLIN
Last Name:KOGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-2101
Mailing Address - Country:US
Mailing Address - Phone:360-805-1555
Mailing Address - Fax:360-805-9029
Practice Address - Street 1:603 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2101
Practice Address - Country:US
Practice Address - Phone:360-805-1555
Practice Address - Fax:360-805-9029
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60186820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649781055OtherTYPE 2 NPI