Healthcare Provider Details

I. General information

NPI: 1851591374
Provider Name (Legal Business Name): CHARLES JOSEPH OSIER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US FLEET FORCES COMMAND 1652 MITSCHER AVE SUITE 250
NORFOLK VA
23551-2178
US

IV. Provider business mailing address

US FLEET FORCES COMMAND 1652 MITSCHER AVE SUITE 250
NORFOLK VA
23551-0001
US

V. Phone/Fax

Practice location:
  • Phone: 757-836-5929
  • Fax:
Mailing address:
  • Phone: 757-836-5929
  • Fax: 757-836-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA126460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: