Provider Demographics
NPI:1437695277
Name:OSOWSKI, OWEN (DC)
Entity Type:Individual
Prefix:DR
First Name:OWEN
Middle Name:
Last Name:OSOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SPEEDWAY CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3300
Mailing Address - Country:US
Mailing Address - Phone:402-212-1273
Mailing Address - Fax:
Practice Address - Street 1:345 SPEEDWAY CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3313
Practice Address - Country:US
Practice Address - Phone:402-212-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor