Organization
OSBORNE CHIROPRACTIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN CARL OSBORNE DC (OWNER/ PRESIDENT)
(919) 571-7311
Entity
Organization
Contact information
Practice address
5603 DURALEIGH RD STE 101, RALEIGH, NC 27612-2688
(919) 571-7311
(919) 783-7835
Mailing address
5603 DURALEIGH RD STE 101, RALEIGH, NC 27612-2688
(919) 571-7311
(919) 783-7835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2871
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085CR
BLUE CROSS/ BLUE SHIELD
—
05
—
89085
—
NC
Enumeration date
07/10/2006
Last updated
12/15/2009
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