Osborne, Herold Scott
Osborne, Herold Scott is an individual health care provider with primary practice located at 3535 N Fourth St Ste 400 , Longview TX 75605-0038. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Osborne, Herold Scott can be contacted via phone (903) 757-3881.Contact Information
Primary practice address
3535 N Fourth St Ste 400
Longview TX 75605-0038
Phone: (903) 757-3881
Fax: (903) 757-5948
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01750 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA01750 | Texas |
Profile Details
NPI number | 1710999727 |
---|---|
LBN Legal business name | Osborne, Herold Scott |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Mar 3rd, 2021 - about 3 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 | 1710999727 | NPPES |
Texas | Other | PA01750 | STATE PA LICENSE |
Texas | Other | 8L27392 | STATE PA LICENSE |
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