Provider Demographics
NPI:1508907007
Name:TWINER, OWEN J (DC)
Entity Type:Individual
Prefix:DR
First Name:OWEN
Middle Name:J
Last Name:TWINER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6460 W GULF TO LAKE HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7622
Mailing Address - Country:US
Mailing Address - Phone:352-795-6313
Mailing Address - Fax:352-795-2350
Practice Address - Street 1:6460 W GULF TO LAKE HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7622
Practice Address - Country:US
Practice Address - Phone:352-795-6313
Practice Address - Fax:352-795-2350
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89994OtherBLUE CROSSBLUE SHIELD
591936351OtherEIN
FL89994OtherBLUE CROSSBLUE SHIELD
FLT56421Medicare UPIN