Owens, Stephen Douglas

Owens, Stephen Douglas is an individual health care provider with primary practice located at 262 Mitylene Park Dr , Montgomery AL 36117-3548. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Owens, Stephen Douglas can be contacted via phone (334) 260-8511.

Contact Information

Primary practice address
262 Mitylene Park Dr Montgomery AL 36117-3548
Fax: (334) 260-8755
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15332 Alabama
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15332 Alabama

Profile Details

NPI number 1104834423
LBN Legal business name Owens, Stephen Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 24th, 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 1104834423 NPPES
Alabama Other 51506599 BLUE CROSS BLUE SHIELD
Alabama Other 51520273 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 051519737 BLUE CROSS BLUE SHIELD

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