Crystal Joy Owens (NPI# 1326399718, PAC ID# 6103056106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1326399718 |
PAC ID by PECOS | 6103056106 |
Professional Enrollment ID | I20180405000995 |
Full Name | Crystal Joy Owens |
Address |
6249 W Maine St Suite 202 Spirit Lake ID 83869-0149 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
6249 W Maine St, Suite 202, Spirit Lake, ID 83869-0149 |
Street Address |
6249 W MAINE ST SUITE 202 |
City | SPIRIT LAKE |
State | ID |
Zip | 83869-0149 |
City | SPIRIT LAKE |
Zip Code | 83869 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | SPIRIT LAKE + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.