Organization
TOTAL WELLNESS CHIROPRACTIC CENTER OF BOWIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE KAPPES (ESTABLISHMENT EXECUTIVE)
(301) 352-3454
Entity
Organization
Contact information
Practice address
6000 LAUREL BOWIE RD, SUITE 202, BOWIE, MD 20715-4000
(301) 352-3454
(301) 352-0893
Mailing address
6000 LAUREL BOWIE RD, SUITE 202, BOWIE, MD 20715-4000
(301) 352-3454
(301) 352-0893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F015
BCBS-DC
MD
01
—
LU06T0
BCBS-MD
MD
Enumeration date
11/17/2006
Last updated
10/26/2009
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