Provider Demographics
NPI:1922589415
Name:OWINGS, SIDNEY LEANN
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:LEANN
Last Name:OWINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2989 DERR RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-1369
Mailing Address - Country:US
Mailing Address - Phone:937-390-0767
Mailing Address - Fax:937-390-6344
Practice Address - Street 1:2989 DERR RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1369
Practice Address - Country:US
Practice Address - Phone:937-390-0767
Practice Address - Fax:937-390-6344
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator