Osborn, Edward L
Osborn, Edward L is an sole proprietor health care provider with primary practice located at 1151 E Main St , Torrington CT 06790-3910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Osborn, Edward L can be contacted via phone (860) 489-7671.Contact Information
Primary practice address
1151 E Main St
Torrington CT 06790-3910
Phone: (860) 489-7671
Fax: (860) 482-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 022860 | Connecticut |
Profile Details
| NPI number | 1639156409 |
|---|---|
| LBN Legal business name | Osborn, Edward L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Dec 22nd, 2008 - about 18 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 | 1639156409 | NPPES |
| Connecticut | MEDICAID | 001228600 | |
| Connecticut | Other | 061044951 |
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