Bogren, Timothy W
Bogren, Timothy W is an sole proprietor health care provider with primary practice located at 332 E Main St , Milton WV 25541-1508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bogren, Timothy W can be contacted via phone (304) 743-1261.Contact Information
Primary practice address
332 E Main St
Milton WV 25541-1508
Phone: (304) 743-1261
Fax: (304) 743-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 608 | West Virginia |
Profile Details
| NPI number | 1245309004 |
|---|---|
| LBN Legal business name | Bogren, Timothy W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Aug 27th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245309004 | NPPES |
| West Virginia | Other | 001711177 | MT. ST. BCBS |
| West Virginia | MEDICAID | 0131934000 | MT. ST. BCBS |
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