Bonny Lou Owens in Tonawanda - Specialist

Bonny Lou Owens - NPI 1588669741

Bonny Lou Owens is a Specialist in Tonawanda, New York. Bonny Lou Owens practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bonny Lou Owens is 1588669741. The last update date is 2007-07-08.

Bonny Lou Owens's current location address is 1405 Sheridan Dr, Tonawanda, New York. You can contact this provider via phone number 7168364090 and fax number 7168364036. The mailing address for Bonny Lou Owens is 1405 Sheridan Dr, Tonawanda, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonny Lou Owens
Address 1405 Sheridan Dr, Tonawanda, New York
Phone Number 7168364090
Fax Number 7168364036
Sole Proprietor X
Credentials CVBCS

NPI Number Detail

NPI Number 1588669741
Provider Enumeration Date 2005-06-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1405 Sheridan Dr
City Tonawanda
State New York (NY)
Post Code 1421712480
Phone Number 7168364090
Fax Number 7168364036

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1482631 NY --

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FAQs about Bonny Lou Owens

What is the unique 10-digit identification code issued to Bonny Lou Owens by the Centers for Medicare & Medicaid Services?

The Bonny Lou Owens has been assigned the NPI (National Provider Identifier) 1588669741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Bonny Lou Owens's facilities are geographically located?

The facilities of Bonny Lou Owens are physically situated at the following location: 1405 Sheridan Dr, Tonawanda, NY, 1421712480.

What is Bonny Lou Owens's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bonny Lou Owens's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1588669741 assigned to Bonny Lou Owens?

The Bonny Lou Owens was issued its 1588669741 on 2005-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Bonny Lou Owens most recently updated or revised?

The information pertaining to Bonny Lou Owens, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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