Dr. Nicholas S Bogannam is a Fairfield, Connecticut based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Nicholas S Bogannam as General Chiropractor is 253CT01 in Connecticut. Dr. Nicholas S Bogannam is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Nicholas S Bogannam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
1995 Post Rd, Fairfield, Connecticut, 06824-5723
Phone:
203-259-4731
Fax:
203-259-7319
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1841359916
NPI Enumeration Date:
06 Dec, 2006
NPI Last Update On:
08 Sep, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicholas S Bogannam are as mentioned below.
License Number
Specialization
State
Status
253CT01
Chiropractor
Connecticut
Primary
253CT01
Nutrition Chiropractor
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nicholas S Bogannam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
253CT01
Other
Connecticut
STATE LICENSE NUMBER
06-1066319
Other
Connecticut
TAX ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1995 Post Rd, Fairfield, Connecticut
Zip:
06824-5723
Phone Number:
203-259-4731
Fax Number:
203-259-7319
Patients can reach Dr. Nicholas S Bogannam at 1995 Post Rd, Fairfield, Connecticut or can call to book an appointment on 203-259-4731. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.