Provider Demographics
NPI:1750546297
Name:POWERS, OWEN ELWOOD (DC)
Entity type:Individual
Prefix:DR
First Name:OWEN
Middle Name:ELWOOD
Last Name:POWERS
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 1:216 PARK AVE NE
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-5110
Mailing Address - Country:US
Mailing Address - Phone:276-328-2260
Mailing Address - Fax:276-328-6440
Practice Address - Street 1:216 PARK AVE NE
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-5110
Practice Address - Country:US
Practice Address - Phone:276-328-2260
Practice Address - Fax:276-328-6440
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556639111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition