Jay R. Osborne, Md, Inc. | |
10850 Mahoning Ave. North Jackson OH 44451 | |
(330) 538-2490 | |
(330) 538-2575 |
Full Name | Jay R. Osborne, Md, Inc. |
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Speciality | Family Medicine |
Location | 10850 Mahoning Ave., North Jackson, Ohio |
Authorized Official Name and Position | Susan Osborne (MANAGER) |
Authorized Official Contact | 3305382490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jay R. Osborne, Md, Inc. 10850 Mahoning Ave. P.o. Box 487 North Jackson OH 44451 Ph: (330) 538-2490 | Jay R. Osborne, Md, Inc. 10850 Mahoning Ave. North Jackson OH 44451 Ph: (330) 538-2490 |
NPI Number | 1902006844 |
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Provider Enumeration Date | 07/19/2007 |
Last Update Date | 07/19/2007 |
Identifier | Type | State | Issuer |
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1902006844 | NPI | - | NPPES |
0820491 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Ohio) | Primary |