Stanley, Owen

Stanley, Owen is an sole proprietor health care provider with primary practice located at 239 Champions Dr , Columbia MO 65211-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Stanley, Owen can be contacted via phone (979) 862-6005.

Contact Information

Primary practice address
239 Champions Dr Columbia MO 65211-0001
Phone: (979) 862-6005
Fax: (979) 847-8514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT6621 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0328 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2007008863 Missouri

Profile Details

NPI number 1992034631
LBN Legal business name Stanley, Owen
Credentials M.S., ATC, CSCS, EMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2009
Last updated Jan 28th, 2021 - about 5 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 1992034631 NPPES
Other 110202002 ATHLETIC TRAINING

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