Provider Demographics
NPI:1790012300
Name:OSBORN CHIROPRACTIC OFFICE INC.
Entity Type:Organization
Organization Name:OSBORN CHIROPRACTIC OFFICE INC.
Other - Org Name:ALTERNATIVE HEALTHCARE OF DUBLIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-789-2200
Mailing Address - Street 1:3663 SNOUFFER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2780
Mailing Address - Country:US
Mailing Address - Phone:614-789-2200
Mailing Address - Fax:614-789-0732
Practice Address - Street 1:3663 SNOUFFER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-2780
Practice Address - Country:US
Practice Address - Phone:614-789-2200
Practice Address - Fax:614-789-0732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT48016Medicare UPIN
OHOS-0545404Medicare PIN