Individual
DR. BRENT A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
9380 MONTGOMERY RD, SUITE 202, CINCINNATI, OH 45242-7753
(513) 891-7746
(513) 891-7747
Mailing address
9380 MONTGOMERY RD, SUITE 202, CINCINNATI, OH 45242-7753
(513) 891-7746
(513) 891-7747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203324
LABOR AND INDUSTRIES
WA
01
—
912103660
TAX ID
WA
01
—
CH00034524
STATE LICENSE
WA
Enumeration date
08/10/2006
Last updated
07/02/2009
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