Provider Demographics
NPI:1598080103
Name:OSADA, SUSAN D (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:D
Last Name:OSADA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 UNION ST S
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-5018
Mailing Address - Country:US
Mailing Address - Phone:828-301-2383
Mailing Address - Fax:
Practice Address - Street 1:13 1/2 EAGLE ST
Practice Address - Street 2:SUITE G
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3794
Practice Address - Country:US
Practice Address - Phone:828-301-2383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2501111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition