Provider Demographics
NPI:1609451319
Name:OWENS, ERIKA (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 VANGUARD DR
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53083-6068
Mailing Address - Country:US
Mailing Address - Phone:414-260-8609
Mailing Address - Fax:920-694-0919
Practice Address - Street 1:4505 VANGUARD DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53083-6068
Practice Address - Country:US
Practice Address - Phone:414-260-8609
Practice Address - Fax:920-694-0919
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5598-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor