Owens, Sally Elizabeth

Owens, Sally Elizabeth is an individual health care provider with primary practice located at 2308 Wyatt Ave , Stevens Point WI 54481-3635. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Owens, Sally Elizabeth can be contacted via phone (715) 341-5441.

Contact Information

Primary practice address
2308 Wyatt Ave Stevens Point WI 54481-3635
Fax: (715) 341-4752
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12390 Minnesota

Profile Details

NPI number 1316141518
LBN Legal business name Owens, Sally Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Apr 17th, 2012 - about 12 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 1316141518 NPPES
Wisconsin MEDICAID 33608800
Wisconsin Other 190000964

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