MEDICARE: ADVANCED CHIROPRACTIC & HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	111NN0400X	Neurology Chiropractor
3	111NN0400X	Neurology Chiropractor	3869	OK
4	111N00000X	Chiropractor	3869	OK

General Provider Information

NPI Number	:	1437519428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC & HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 608
Second Line	:
City	:	COWETA
State	:	OK
Zip	:	74429
Country	:	US
Telephone Number	:	918-486-1490
Fax Number	:	918-486-1595

Provider Business Practice Location Address
First Line	:	7919 MID AMERICA BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6610
Country	:	US
Telephone Number	:	405-855-6000
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MR. CURTIS WAYNE TILLMAN
Credential	:	D.C., D.A.C.N.B.
Telephone Number	:	918-486-1490

Provider Enumeration Date	:	03/03/2016
Last Update Date	:	02/07/2024

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Directions to “ADVANCED CHIROPRACTIC & HEALTH ” Practice Location

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