Individual
MR. JOHN A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
(234) 254-8413
Mailing address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
(234) 254-8413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207008
—
OH
Enumeration date
05/16/2019
Last updated
07/12/2019
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