Provider Demographics
NPI:1366459166
Name:OSBORNE, JAMES EPHRAN (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EPHRAN
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 5TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-3303
Mailing Address - Country:US
Mailing Address - Phone:205-322-8790
Mailing Address - Fax:
Practice Address - Street 1:2523 5TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3303
Practice Address - Country:US
Practice Address - Phone:205-322-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4114237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist