Individual
JONATHAN MICHAEL OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1745 CITY CENTER BLVD STE B, ELIZABETH CITY, NC 27909-8953
(443) 684-0834
Mailing address
3519 UNION ST, ELIZABETH CITY, NC 27909
(443) 684-0834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104557830
VA
111N00000X
Chiropractor
Primary
5509
NC
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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