Osborn, Edward L

Osborn, Edward L is an sole proprietor health care provider with primary practice located at 1151 E Main St , Torrington CT 06790-3910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Osborn, Edward L can be contacted via phone (860) 489-7671.

Contact Information

Primary practice address
1151 E Main St Torrington CT 06790-3910
Phone: (860) 489-7671
Fax: (860) 482-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 022860 Connecticut

Profile Details

NPI number 1639156409
LBN Legal business name Osborn, Edward L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Dec 22nd, 2008 - about 18 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 1639156409 NPPES
Connecticut MEDICAID 001228600
Connecticut Other 061044951

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