Search › Connecticut › 111N00000X
Nicholas Bogannam, D.C
NPI 1841359916 · on the registry since 2006
Practice
- Address
- 1995 Post Rd
Fairfield, CT 06824 - Phone
- (203) 259-4731
- Fax
- (203) 259-7319
- Organisation at this address
- Southport Chiropractic Office, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111NN1001X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut