Provider Demographics
NPI:1144699794
Name:TOTAL HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:TOTAL HEALTH CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:COSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-488-3300
Mailing Address - Street 1:3400 BIENVILLE STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5321
Mailing Address - Country:US
Mailing Address - Phone:504-488-3300
Mailing Address - Fax:504-486-0728
Practice Address - Street 1:3400 BIENVILLE STREET
Practice Address - Street 2:SUITE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5321
Practice Address - Country:US
Practice Address - Phone:504-488-3300
Practice Address - Fax:504-486-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty