Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 80116 | MS |
N | 222Z00000X | Podiatrist | 80116 | MS |
Y | 213ES0131X | Foot Surgery | DPM 400 | TN |
NPI | 1144420118 |
---|---|
Provider Name | Aaron Michael Owens |
First Address | Columbia, TN 38401-8645 |
Second Address | Columbia, TN 38401-8645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 06/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09253551 | (05) | MS |
3350009 | (05) | TN |
4181079 | BCBSTN (01) | TN |