Osborne, Misty A

Osborne, Misty A is an individual health care provider with primary practice located at 2120 W Central Ave , Toledo OH 43606-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Osborne, Misty A can be contacted via phone (419) 531-8558.

Contact Information

Primary practice address
2120 W Central Ave Toledo OH 43606-3834
Fax: (419) 531-8798
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5001549 Ohio

Profile Details

NPI number 1487652715
LBN Legal business name Osborne, Misty A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Nov 3rd, 2023 - about 2 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 1487652715 NPPES
Ohio MEDICAID 0070838

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