Individual
MR. JEFFREY ALLEN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 W CHERRY ST, GLASGOW, KY 42141-2902
(270) 651-7552
Mailing address
106 SHANE DRIVE, ST 20, GLASGOW, KY 42141
(270) 651-7552
(270) 659-2779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85041705
—
KY
Enumeration date
10/03/2006
Last updated
08/20/2014
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