Ben A Vogt, DC
Individual provider Active NPI Chiropractor · Dickeyville, WI
NPI 1790783546 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1790783546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3770-012 (WI)
- Practice address
- 200 W Main St
Dickeyville, WI 53808-9700 - Phone
- (608) 568-3985
- Fax
- (608) 568-3987
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Main St
Dickeyville, WI 53808-9700
Phone (608) 568-3985
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000251 | WI | Practitioner - Chiropractic | 7315960523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3770-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickeyville Health Services Incorporated | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3770-012 | WI | Yes |
Addresses
Primary practice location
200 W Main St
Dickeyville, WI 53808-9700
Mailing address
PO Box 340
Dickeyville, WI 53808-0340
Phone (608) 568-3985
Other providers in Dickeyville, WI
- Dickeyville Health Services Incorporated
- Dickeyville Rescue Squad Inc
- Heather Fenner
- Amy Fields
- Tammy Jean Leeser
All providers in Dickeyville, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.