Osborne, Corey Alan
Osborne, Corey Alan is an individual health care provider with primary practice located at 734 Cambridge Blvd Ste 100, O Fallon IL 62269-1964. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Osborne, Corey Alan can be contacted via phone (618) 622-9780.Contact Information
Primary practice address
734 Cambridge Blvd Ste 100
O Fallon IL 62269-1964
Phone: (618) 622-9780
Fax: (618) 622-9782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1124040688 |
|---|---|
| LBN Legal business name | Osborne, Corey Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124040688 | NPPES |
| Illinois | Other | 03227051 | BC/BS |
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