MEDICARE: WILLIAM T OWENS CO

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	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972793305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM T OWENS CO

Provider Business Mailing Address
First Line	:	PO BOX 7263
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28241-7263
Country	:	US
Telephone Number	:	704-332-3143
Fax Number	:	866-670-5370

Provider Business Practice Location Address
First Line	:	3139 WESTINGHOUSE BLVD
Second Line	:	SUITE A & B
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6535
Country	:	US
Telephone Number	:	704-332-5143
Fax Number	:	866-670-5370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	01/05/2017

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Directions to “ WILLIAM T OWENS CO” Practice Location

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