Healthcare Provider Details

I. General information

NPI: 1255677431
Provider Name (Legal Business Name): WILLIAM DANE OWENS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 COURT ST
PORT ALLEN LA
70767-2635
US

IV. Provider business mailing address

751 COURT ST
PORT ALLEN LA
70767-2635
US

V. Phone/Fax

Practice location:
  • Phone: 225-336-1920
  • Fax: 225-343-8399
Mailing address:
  • Phone: 225-336-1920
  • Fax: 225-343-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1677
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: