Osburn, Jonathan F

Osburn, Jonathan F is an individual health care provider with primary practice located at 9625 Red Arrow Hwy , Bridgman MI 49106-9559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Osburn, Jonathan F can be contacted via phone (269) 465-6050.

Contact Information

Primary practice address
9625 Red Arrow Hwy Bridgman MI 49106-9559
Phone: (269) 465-6050
Fax: (269) 465-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301074663 Michigan

Profile Details

NPI number 1265468862
LBN Legal business name Osburn, Jonathan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265468862 NPPES
Michigan MEDICAID 4418524
Michigan Other 0801103552
Michigan Other 80188668

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