Osborne, Clarence Michael

Osborne, Clarence Michael is an individual health care provider with primary practice located at 2550 Flowood Drive Suite 303, Flowood MS 39232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Osborne, Clarence Michael can be contacted via phone (601) 709-7700.

Contact Information

Primary practice address
2550 Flowood Drive Suite 303 Flowood MS 39232
Phone: (601) 709-7700
Fax: (601) 709-7701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 12145 Mississippi

Profile Details

NPI number 1548356983
LBN Legal business name Osborne, Clarence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 23rd, 2016 - about 9 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 1548356983 NPPES
Mississippi MEDICAID 00115211

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