Provider Demographics
NPI:1013330117
Name:OWENS, NANCY (DC)
Entity Type:Individual
Prefix:
First Name:NANCY
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 1:201 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47541-9780
Mailing Address - Country:US
Mailing Address - Phone:812-351-4254
Mailing Address - Fax:
Practice Address - Street 1:201 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:IN
Practice Address - Zip Code:47541-9780
Practice Address - Country:US
Practice Address - Phone:812-351-4254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor