Provider Demographics
NPI:1205380029
Name:DR. ASHLEY C. OWENS P.C.
Entity Type:Organization
Organization Name:DR. ASHLEY C. OWENS P.C.
Other - Org Name:CAROLINA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CLINTON
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-870-9500
Mailing Address - Street 1:9380 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2488
Mailing Address - Country:US
Mailing Address - Phone:919-870-9500
Mailing Address - Fax:919-870-9502
Practice Address - Street 1:9380 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2488
Practice Address - Country:US
Practice Address - Phone:919-870-9500
Practice Address - Fax:919-870-9502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC7926BMedicare PIN