Individual
MR. ADAM S OSENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6633 E STATE BLVD STE 200, FORT WAYNE, IN 46815-7035
(260) 696-0959
(260) 969-0052
Mailing address
4332 FLAGSTAFF CV, FORT WAYNE, IN 46815-4416
(260) 696-0959
(260) 969-0052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002385A
IN
111N00000X
Chiropractor
3886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221280
PTAN
IN
05
—
2829701
—
OH
01
—
9312811
PTAN
OH
Enumeration date
02/27/2008
Last updated
02/20/2022
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