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NPI Code Detail

MEDICARE: DR. JEANNA MARIE TOWNSEND DC

MEDICARE: DR. JEANNA MARIE TOWNSEND DC
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
1111N00000XChiropractor10774TX
2111N00000XChiropractor3888OK

General Provider Information

NPI Number : 1750568820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNA MARIE TOWNSEND DC
Provider Business Mailing Address
First Line : 921 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 405-302-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 03/11/2025

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