NPI 1073522108

Trenton G Boggs, DC

Practitioner Chiropractor Fort Wayne, IN

Practice location

Address: 1114 W Cook Rd, Fort Wayne, IN 46825-3214
Phone: (260) 483-5588
Mailing address: 11817 Autumn Tree Dr, Fort Wayne, IN 46845-1905

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 08001740 (IN)

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Registry record

NPI: 1073522108
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.