Individual
BRYAN CARL OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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
—
01
—
562267692
ACN AND HUMANA
—
05
—
89085
—
NC
Enumeration date
07/17/2006
Last updated
12/21/2009
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