Organization
SCOTT A OWENS PC
Active
Other names
Owens Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA J. OWENS ND (MANAGER)
(405) 620-4191
Entity
Organization
Contact information
Practice address
101 SE 4TH ST, MOORE, OK 73160-5301
(405) 793-8777
(405) 392-4191
Mailing address
PO BOX 7031, MOORE, OK 73153-1031
(405) 620-4191
(405) 392-4191
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2528
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306139191
BLUE CROSS BLUE SHIELD
OK
01
—
1306139191
GROUP/BILLING NPI
—
01
—
1427163104
INDIVIDUAL NPI
—
Enumeration date
05/26/2011
Last updated
06/18/2015
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