MEDICARE: PAMELA J OWENS DCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	3024	NC

General Provider Information

NPI Number	:	1932274339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMELA J OWENS DCPC

Provider Business Mailing Address
First Line	:	6934 BEACH DR SW
Second Line	:	SUITE 2
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-5797
Country	:	US
Telephone Number	:	910-575-2225
Fax Number	:	910-575-2275

Provider Business Practice Location Address
First Line	:	6934 BEACH DR SW
Second Line	:	SUITE 2
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-5797
Country	:	US
Telephone Number	:	910-575-2225
Fax Number	:	910-575-2275

Authorized Official
Title or Position	:	OWNER CHIROPRACTOR
Name	:	DR. PAMELA J OWENS
Credential	:	DC
Telephone Number	:	910-575-2225

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	08/22/2020

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