Osburn, Andrew Wade
Osburn, Andrew Wade is an individual health care provider with primary practice located at 2320 Bath St Suite 113, Santa Barbara CA 93105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Osburn, Andrew Wade can be contacted via phone (805) 682-7984.Contact Information
Primary practice address
2320 Bath St Suite 113
Santa Barbara CA 93105
Phone: (805) 682-7984
Fax: (805) 569-2964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G75889 | California |
Profile Details
| NPI number | 1942206990 |
|---|---|
| LBN Legal business name | Osburn, Andrew Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Oct 19th, 2007 - about 19 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 | 1942206990 | NPPES |
| California | Other | P0030291 | RR MC |
| California | Other | 00G758890 | RR MC |
| California | MEDICAID | 00G758890 | RR MC |
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