Provider Demographics
NPI:1114184611
Name:DR. EDWARD A. OWENS, PS.
Entity type:Organization
Organization Name:DR. EDWARD A. OWENS, PS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-644-5556
Mailing Address - Street 1:P.O. BOX 1238
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-1238
Mailing Address - Country:US
Mailing Address - Phone:425-802-5432
Mailing Address - Fax:855-237-3755
Practice Address - Street 1:13400 NE 20TH STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2056
Practice Address - Country:US
Practice Address - Phone:425-802-5432
Practice Address - Fax:855-237-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty