Osborn, Tom
Osborn, Tom is an individual health care provider with primary practice located at 1120 25Th Ave , Black Eagle MT 59414-1037. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Osborn, Tom can be contacted via phone (406) 452-9834.Contact Information
Primary practice address
1120 25Th Ave
Black Eagle MT 59414-1037
Phone: (406) 452-9834
Fax: (406) 453-3940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 193766 | Montana |
Profile Details
| NPI number | 1043680994 |
|---|---|
| LBN Legal business name | Osborn, Tom |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 11 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 | 1043680994 | NPPES |
| Montana | MEDICAID | 193766 | |
| Montana | MEDICAID | 136084 |
Popular Providers
-
Garcia, Fernando
5541 Highway 1 , Marksville LA 71351-2650 -
Ziegler, Thomas Richard
4572 Southern Drive , Erie PA 16506-1536 -
Krum, Sandy A.
1278 N Milwaukee Ave Number 2W, Chicago IL 60622-2289 -
Leandro, David John
4760 Lawrenceville Hwy Nw Suite C-1, Lilburn GA 30047-3858 -
Arboleda, Antonio Lorenzo
2211 W Magnolia Blvd Suite 210, Burbank CA 91506-1753 -
Whitehead, Lee James
11600 W Fm 471 , San Antonio TX 78253-4802 -
Siano, Lelia M
205 W Wacker Dr Ste 1020 , Chicago IL 60606-1452 -
Parker, Cliff C
453 Leisure Dr , Cedar Hill TX 75104-3115