Doctor Name: | DR. JODI MARIE OSBORNE |
NPI Number: | 1609955988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4190-012 |
Business Practice Address: | 3921 S 76th St Milwaukee, WI - 532202320 |
Business Phone Number: | 4145461090 |
Business Fax Number: | 4145461065 |
Mailing Address: | 3921 S 76th St, MILWAUKEE |
State: | WI |
Postal Code: | 532202320 |
Phone Number: | 4145461090 |
Fax Number: | 4145461065 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4190-012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |