Provider Demographics
NPI:1629378849
Name:OWENS CAROLINA ORTHOTIC & PROSTHETICS NETWORK, INC. I
Entity Type:Organization
Organization Name:OWENS CAROLINA ORTHOTIC & PROSTHETICS NETWORK, INC. I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-332-5143
Mailing Address - Street 1:PO BOX 7263
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28241-7263
Mailing Address - Country:US
Mailing Address - Phone:704-332-5143
Mailing Address - Fax:866-670-5370
Practice Address - Street 1:10550 SOUTHERN LOOP BLVD
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-7383
Practice Address - Country:US
Practice Address - Phone:704-332-5143
Practice Address - Fax:866-670-5370
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OWENS CAROLINA ORTHOTIC & PROSTHETICS NETWORK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-22
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty