Provider Demographics
NPI:1821093303
Name:OSTEN, JOEL J (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:J
Last Name:OSTEN
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 1:3315 L ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2500
Mailing Address - Country:US
Mailing Address - Phone:402-731-0170
Mailing Address - Fax:402-731-1366
Practice Address - Street 1:3315 L ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2500
Practice Address - Country:US
Practice Address - Phone:402-731-0170
Practice Address - Fax:402-731-1366
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1260111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4400628OtherAMERICHOICE SHARE ADV.
NE99536OtherBLUE CROSS BLUE SHIELD
NE99536OtherBLUE CROSS BLUE SHIELD
NE4400628OtherAMERICHOICE SHARE ADV.