Owens, Matthew Shane

Owens, Matthew Shane is an sole proprietor health care provider with primary practice located at 420 W 5Th Ave , Flint MI 48503-2445. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Owens, Matthew Shane can be contacted via phone (248) 678-4749.

Contact Information

Primary practice address
420 W 5Th Ave Flint MI 48503-2445
Phone: (248) 678-4749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6361005054 Michigan
Agencies / Community/Behavioral Health 251S00000X 6301011431 Michigan

Profile Details

NPI number 1497883979
LBN Legal business name Owens, Matthew Shane
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497883979 NPPES
Michigan Other 386004868 FEDERAL TAX ID

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