Individual
MICHAEL J. OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5131
(740) 446-5486
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5131
(740) 446-5486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16693
WV
207R00000X
Internal Medicine Physician
Primary
35-05-9908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007572
ANTHEM BCBS
—
01
—
000000181839
UNISON MEDICAID
OH
01
—
001714057
MOUNTAIN STATE BCBS
—
05
—
0073060000
—
WV
01
—
0809389
MOLINA MEDICAID
OH
01
—
110062952
RR MEDICARE
—
01
—
310917085111
CARESOURCE MEDICAID
OH
Enumeration date
06/08/2006
Last updated
01/14/2021
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