Organization Name: | OSBORNE ORTHOPEDIC GROUP, INC |
NPI Number: | 1013300128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOMMY OSBORNE (OWNER) |
Mailing Address: | 612 Kingsborough Sq Suite 202 Chesapeake |
State: | VA US |
Postal Code: | 233205041 |
Phone Number: | 7575487190 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2015 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 0213001933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |