| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902006844 | NPI | - | NPPES |
| 0820491 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |