Osborne, Jay Richard
Osborne, Jay Richard is an sole proprietor health care provider with primary practice located at 10850 Mahoning Ave Box 487, North Jackson OH 44451-8705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Osborne, Jay Richard can be contacted via phone (330) 538-2490.Contact Information
Primary practice address
10850 Mahoning Ave Box 487
North Jackson OH 44451-8705
Phone: (330) 538-2490
Fax: (330) 538-2575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-05-8686 | Ohio |
Profile Details
| NPI number | 1821083023 |
|---|---|
| LBN Legal business name | Osborne, Jay Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1821083023 | NPPES |
| Ohio | MEDICAID | 0820491 |
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