Provider Demographics
NPI:1376841940
Name:OSBORNE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:OSBORNE CHIROPRACTIC PLLC
Other - Org Name:DANIEL J OSBORNE DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWNITTA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-325-1977
Mailing Address - Street 1:1334 N WHITMAN LN # 100
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7594
Mailing Address - Country:US
Mailing Address - Phone:509-922-1810
Mailing Address - Fax:509-922-1823
Practice Address - Street 1:1334 N WHITMAN LN # 100
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7594
Practice Address - Country:US
Practice Address - Phone:509-922-1810
Practice Address - Fax:509-922-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH000034397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty