Osborn, John Jay

Osborn, John Jay is an sole proprietor health care provider with primary practice located at Carl R. Darnell Army Medical Center 36065 Santa Fe Ave, Ft Hood TX 76544-5095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Osborn, John Jay can be contacted via phone (254) 553-5095.

Contact Information

Primary practice address
Carl R. Darnell Army Medical Center 36065 Santa Fe Ave Ft Hood TX 76544-5095
Phone: (254) 553-5095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20033 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20033 South Carolina

Profile Details

NPI number 1003027822
LBN Legal business name Osborn, John Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated May 15th, 2018 - about 6 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 1003027822 NPPES
South Carolina MEDICAID GP2021

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