Trimboli Bogie Inc PC
Organization Active NPI Chiropractor · Munster, IN
NPI 1093982902 · NPPES record last updated Aug 6, 2008
Key facts
- NPI
- 1093982902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001441A (IN)
- Legal business name
- TRIMBOLI BOGIE INC PC
- Practice address
- 706 Ridge Rd
Munster, IN 46321-1612 - Phone
- (219) 836-8890
- Fax
- (219) 836-2344
- NPI assigned
- May 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Nancy J Trimboli, DC
- Title
- Doctor
- Phone
- (219) 836-8890
Practitioners 21
-
Nancy J Trimboli, D.C.
-
Amy Bialota, LMT
-
Genevieve Bugajski, LMT
-
Brynalyn Evorik, LMT
-
James P. Gano, D.C.
-
Melanie Kurth, LMT
-
Shawntina Lashawn Neal, MASSAGE THERAPIST
-
Jaclyn Roggeveen, LMT
-
Maryann Sertic, LMT
-
Amy Elaine Shevokas, D.C.
-
Meghan Slivka, LMT
-
Marzena Tzolov, LMT
-
Bonnie Kristin Ahlf, D.C.
-
Eric A Bilson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080729000688 | IN | Part B Supplier - Clinic/Group Practice | 4183798804 |
Receives reassigned benefits from 1 practitioner Practice locations: Cedar Lake, IN |
National Provider Directory
Locations
12732 Wicker Ave
Cedar Lake, IN 46303
Phone (219) 374-4144
706 Ridge Rd
Munster, IN 46321
Phone (219) 836-8890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08001441A | IN | Yes |
Addresses
Primary practice location
706 Ridge Rd
Munster, IN 46321-1612
Mailing address
706 Ridge Rd
Munster, IN 46321-1612
Phone (219) 836-8890
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.