National Provider Identifier

Bonny Lou Owens, CVBCS

Bonny Lou Owens, CVBCS is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 836-4090.

NPI 1588669741Tonawanda, NYSpecialist

Profile Overview

NPI
1588669741
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 15, 2005
Last Updated
July 08, 2007

Practice Location

  • 1405 Sheridan Dr
  • Tonawanda, NY 14217-1248

Phone: (716) 836-4090

Specialties

  • Specialist (174400000X)
Full Record
NPI
1588669741
Entity Type
Individual
Last Name
Owens
First Name
Bonny
Middle Name
Lou
Credential
CVBCS
Mailing Street Address
1405 Sheridan Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14217-1248
Mailing Country
US
Mailing Phone
(716) 836-4090
Mailing Fax
(716) 836-4036
Practice Street Address
1405 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14217-1248
Practice Country
US
Practice Phone
(716) 836-4090
Practice Fax
(716) 836-4036
Enumeration Date
June 15, 2005
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
01482631 (NY)