Osborn, Keith D.
Osborn, Keith D. is an individual health care provider with primary practice located at 2000 Howard Farm Dr , Cumming GA 30041-6075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Osborn, Keith D. can be contacted via phone (404) 234-1234.Contact Information
Primary practice address
2000 Howard Farm Dr
Cumming GA 30041-6075
Phone: (404) 234-1234
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 029225 | Georgia |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 029225 | Georgia |
Profile Details
NPI number | 1407843568 |
---|---|
LBN Legal business name | Osborn, Keith D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Feb 20th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407843568 | NPPES |
Georgia | MEDICAID | 000339061A |
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