1972665131 NPI number — OWENS, INC.

Table of content: (NPI 1972665131)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972665131 NPI number — OWENS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OWENS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972665131
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 993693
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDDING
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96099-3693
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-245-5976
Provider Business Mailing Address Fax Number:
530-242-8535

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3860 MORROW LN
Provider Second Line Business Practice Location Address:
STE. E
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95928-8819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-899-8687
Provider Business Practice Location Address Fax Number:
530-889-8610
Provider Enumeration Date:
12/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRIESEN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
530-246-1075

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  MDR51925 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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