Provider Demographics
NPI:1952519126
Name:OWUSU, SYLVESTER WINFRED (DC)
Entity Type:Individual
Prefix:DR
First Name:SYLVESTER
Middle Name:WINFRED
Last Name:OWUSU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 HASLETT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8669
Mailing Address - Country:US
Mailing Address - Phone:517-853-2027
Mailing Address - Fax:517-853-0832
Practice Address - Street 1:2119 HASLETT RD
Practice Address - Street 2:SUITE A
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-8669
Practice Address - Country:US
Practice Address - Phone:517-853-2027
Practice Address - Fax:517-853-0832
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP49590002Medicare PIN