Provider Demographics
NPI:1588960629
Name:OWENS, BETH G (DIPL AC, L AC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:G
Last Name:OWENS
Suffix:
Gender:F
Credentials:DIPL AC, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5220
Mailing Address - Country:US
Mailing Address - Phone:301-874-9095
Mailing Address - Fax:301-874-9096
Practice Address - Street 1:252 E 6TH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5220
Practice Address - Country:US
Practice Address - Phone:301-874-9095
Practice Address - Fax:301-874-9096
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00509171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist