Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 941083 | OH |
N | 207VG0400X | Gynecologist | 021118 | LA |
N | 207VG0400X | Gynecologist | 350704310 | OH |
N | 207VG0400X | Gynecologist | J6198O | TX |
NPI | 1528137650 |
---|---|
Provider Name | Robert Gregory Owens |
First Address | West Chester, OH 45069-2748 |
Second Address | West Chester, OH 45069-2748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000185641 | ANTHEM (01) | OH |
0583097 | (05) | OH |
07-02135 | UNITED HEALTHCARE (01) | OH |
2441372 | AETNA (01) | OH |
F96592 | (02) | OH |