Provider Demographics
NPI:1932274339
Name:PAMELA J OWENS DCPC
Entity Type:Organization
Organization Name:PAMELA J OWENS DCPC
Other - Org Name:AT THE BEACH CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-575-2225
Mailing Address - Street 1:6934 BEACH DR SW
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-5797
Mailing Address - Country:US
Mailing Address - Phone:910-575-2225
Mailing Address - Fax:910-575-2275
Practice Address - Street 1:6934 BEACH DR SW
Practice Address - Street 2:SUITE 2
Practice Address - City:OCEAN ISLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28469-5797
Practice Address - Country:US
Practice Address - Phone:910-575-2225
Practice Address - Fax:910-575-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3024111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT88817Medicare UPIN
NC2298377AMedicare ID - Type UnspecifiedMEDICARE NUMBER