Provider Demographics
NPI:1821876970
Name:OSBORN, CALEB JOHN (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:JOHN
Last Name:OSBORN
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 N CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-7179
Mailing Address - Country:US
Mailing Address - Phone:816-368-8226
Mailing Address - Fax:
Practice Address - Street 1:1860 N CHURCH RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7179
Practice Address - Country:US
Practice Address - Phone:816-368-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023038410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor