MEDICARE: DR. EDWIN J OSGOOD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6197	CO

General Provider Information

NPI Number	:	1083874176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN J OSGOOD D.C.

Provider Business Mailing Address
First Line	:	1045 ROBERTSON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3926
Country	:	US
Telephone Number	:	970-223-5914
Fax Number	:	970-223-5918

Provider Business Practice Location Address
First Line	:	2601 S LEMAY AVE
Second Line	:	15
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2247
Country	:	US
Telephone Number	:	970-223-5914
Fax Number	:	970-223-5918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	02/13/2019

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