Organization
TOTAL HEALTH & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LYNN COTTINGAME D.C. (DOCTOR/ OWNER)
(580) 920-2555
Entity
Organization
Contact information
Practice address
1259 N WASHINGTON AVE, DURANT, OK 74701-2119
(580) 920-2555
(580) 920-2666
Mailing address
1259 N WASHINGTON AVE, DURANT, OK 74701-2119
(580) 920-2555
(580) 920-2666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3543
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039580A
—
OK
01
—
467277639001
BLUE CROSS BLUE SHIELD
OK
01
—
790814
AETNA
OK
Enumeration date
10/23/2006
Last updated
07/16/2013
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