Owen, Wesley

Owen, Wesley is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Owen, Wesley can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1400 S Germantown Rd Germantown TN 38138-2205
Phone: (901) 759-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 63329 Tennessee

Profile Details

NPI number 1043743594
LBN Legal business name Owen, Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043743594 NPPES
Tennessee MEDICAID Q042350
Tennessee MEDICAID 08035816

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