Individual
DR. TIMOTHY W BOGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
332 E MAIN ST, MILTON, WV 25541-1508
(304) 743-1261
(304) 743-1899
Mailing address
332 E MAIN ST, MILTON, WV 25541-1508
(304) 743-1261
(304) 743-1899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
608
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001711177
MT. ST. BCBS
WV
05
—
0131934000
—
WV
Enumeration date
11/07/2006
Last updated
08/27/2008
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