Individual
DR. DONALD ERVIN OWENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5238
Mailing address
703 NOTTINGHAM DR, SAINT JOSEPH, IL 61873-8927
(217) 469-2375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-007225
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209017761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632674
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/30/2006
Last updated
12/03/2019
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