Osborn, John Jay
Osborn, John Jay is an sole proprietor health care provider with primary practice located at Carl R. Darnell Army Medical Center 36065 Santa Fe Ave, Ft Hood TX 76544-5095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Osborn, John Jay can be contacted via phone (254) 553-5095.Contact Information
Primary practice address
Carl R. Darnell Army Medical Center 36065 Santa Fe Ave
Ft Hood TX 76544-5095
Phone: (254) 553-5095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 20033 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20033 | South Carolina |
Profile Details
| NPI number | 1003027822 |
|---|---|
| LBN Legal business name | Osborn, John Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | May 15th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003027822 | NPPES |
| South Carolina | MEDICAID | GP2021 |
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