Owens, Jack D

Owens, Jack D is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Ground Floor, Johnson City TN 37604-6056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Owens, Jack D can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N State Of Franklin Rd Ground Floor Johnson City TN 37604-6056
Phone: (423) 439-7320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 16764 Mississippi
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 42801 Tennessee

Profile Details

NPI number 1609952241
LBN Legal business name Owens, Jack D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 24th, 2024 - about 11 months 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 1609952241 NPPES
Tennessee MEDICAID Q073340
Tennessee MEDICAID 00121969
Tennessee MEDICAID 0121969

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