Osborn, Nathaniel

Osborn, Nathaniel is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 206 , Daytona Beach FL 32117-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Osborn, Nathaniel can be contacted via phone (863) 231-4450.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 206 Daytona Beach FL 32117-5169
Phone: (863) 231-4450
Fax: (863) 231-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X OS17563 Florida

Profile Details

NPI number 1528412236
LBN Legal business name Osborn, Nathaniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Dec 9th, 2022 - about 4 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 1528412236 NPPES
Pennsylvania MEDICAID 1528412236

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