Healthcare Provider Details

I. General information

NPI: 1902605975
Provider Name (Legal Business Name): DANIEL OSTERMANN II BME
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4216 MERITAS DR
COLUMBUS GA
31904-6257
US

IV. Provider business mailing address

5619 OLD DOMINION RD
COLUMBUS GA
31909-4214
US

V. Phone/Fax

Practice location:
  • Phone: 916-880-8387
  • Fax:
Mailing address:
  • Phone: 706-315-0708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1900X
TaxonomyOrthoptist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: