Provider Demographics
NPI:1356535165
Name:TOTAL HEALTH NETWORK
Entity type:Organization
Organization Name:TOTAL HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRUMPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:504-835-3535
Mailing Address - Street 1:525 METAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4352
Mailing Address - Country:US
Mailing Address - Phone:504-835-3535
Mailing Address - Fax:504-835-3550
Practice Address - Street 1:525 METAIRIE RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4352
Practice Address - Country:US
Practice Address - Phone:504-835-3535
Practice Address - Fax:504-835-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1269111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CF30Medicare PIN
LAR15128Medicare UPIN