Healthcare Provider Details

I. General information

NPI: 1386002475
Provider Name (Legal Business Name): ONEHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 W UNIVERSITY BLVD
DURANT OK
74701-2993
US

IV. Provider business mailing address

2803 W UNIVERSITY BLVD
DURANT OK
74701-2993
US

V. Phone/Fax

Practice location:
  • Phone: 580-847-2225
  • Fax: 844-270-5039
Mailing address:
  • Phone: 580-847-2225
  • Fax: 844-270-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3973
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3973
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA BURTON
Title or Position: DOCTOR
Credential: DC, DABCI
Phone: 580-847-2225