Provider Demographics
NPI:1083874176
Name:OSGOOD, EDWIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:J
Last Name:OSGOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1045 ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3926
Mailing Address - Country:US
Mailing Address - Phone:970-223-5914
Mailing Address - Fax:970-223-5918
Practice Address - Street 1:2601 S LEMAY AVE
Practice Address - Street 2:15
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2247
Practice Address - Country:US
Practice Address - Phone:970-223-5914
Practice Address - Fax:970-223-5918
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO6197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor