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Contact Information

OSBORNE ORTHOPEDIC GROUP, INC
1701 CHURCH ST STE A
NORFOLK, VA23504-2304
 Phone: 757-548-7190
 Fax: 757-548-7190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OSBORNE ORTHOPEDIC GROUP, INC

NPI # 1013300128
LBN Legal business name OSBORNE ORTHOPEDIC GROUP, INC
Authorized official TOMMY OSBORNE - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2015
Last updated 11/20/2021 - About 5 years ago
Identifiers
VA License # 0213001933
VA Medicaid 1598768103
Other 362091900 OWCP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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