Provider Demographics
NPI:1871307850
Name:OWENS, JOSEPH EDWARD
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EDWARD
Last Name:OWENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:E
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:58852 S 220 AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:NE
Mailing Address - Zip Code:68638-3306
Mailing Address - Country:US
Mailing Address - Phone:402-739-2666
Mailing Address - Fax:
Practice Address - Street 1:4210 UTAH AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1001
Practice Address - Country:US
Practice Address - Phone:308-850-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion