Osborn, Jeffrey S

Osborn, Jeffrey S is an individual health care provider with primary practice located at 324 Tenth Ave 206, Salt Lake City UT 84103-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Osborn, Jeffrey S can be contacted via phone (801) 408-3900.

Contact Information

Primary practice address
324 Tenth Ave 206 Salt Lake City UT 84103-2853
Fax: (801) 408-3909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 176514-1205 Utah

Profile Details

NPI number 1043288368
LBN Legal business name Osborn, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Mar 13th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043288368 NPPES
Utah MEDICAID 08835

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