Owen, Mychelle A.
Owen, Mychelle A. is an sole proprietor health care provider with primary practice located at 11123 Parkview Plaza Dr Ste 101 , Fort Wayne IN 46845-1707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Owen, Mychelle A. can be contacted via phone (260) 425-6650.Contact Information
Primary practice address
11123 Parkview Plaza Dr Ste 101
Fort Wayne IN 46845-1707
Phone: (260) 425-6650
Fax: (260) 425-6649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 34008554 | Ohio |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 02005028A | Indiana |
Profile Details
| NPI number | 1861486680 |
|---|---|
| LBN Legal business name | Owen, Mychelle A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Oct 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861486680 | NPPES |
| Arizona | MEDICAID | 427702 | |
| Arizona | MEDICAID | 2607601 |
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