Osbourne, Jeffrey A

Osbourne, Jeffrey A is an individual health care provider with primary practice located at 3870 South 108Th Street , Greenfield WI 53228-1308. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Osbourne, Jeffrey A can be contacted via phone (414) 327-2770.

Contact Information

Primary practice address
3870 South 108Th Street Greenfield WI 53228-1308
Phone: (414) 327-2770
Fax: (414) 327-0338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 681-025 Wisconsin

Profile Details

NPI number 1831284470
LBN Legal business name Osbourne, Jeffrey A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 16th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831284470 NPPES
Wisconsin MEDICAID 43219200

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