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Contact Information

SANDRA OWEN
2121 LAKE AVE
FORT WAYNE, IN46805-5100
 Phone: 260-426-5431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for SANDRA OWEN · (Female)

NPI Number 1396447033
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2023
Last updated 03/20/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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