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Contact Information

GERALD G OSBORN, DO
130 INDEPENDENCE LN
LAFOLLETTE, TN37766
 Phone: 423-462-1705
 Fax: 423-566-3718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for GERALD G OSBORN · (Male)

NPI # 1023093937
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/13/2005
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2003015148
  • MO Medicaid 208810002
  • TN Medicaid 1512315
  • TN Medicaid Q000489
Hospital affiliation(s)
  • MCLAREN - GREATER LANSING - (Acute Care)
    401 W GREENLAWN AVE
    LANSING, MI 48910
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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