Osvaldo Jose Colon Rosado, DC
Individual provider Active NPI Chiropractor · Oolteah, TN
NPI 1568058840 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1568058840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3360 (TN)
- Practice address
- 5038 Hunter Rd
Oolteah, TN 37363 - Phone
- (423) 910-9977
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3360 | TN | Yes |
Addresses
Primary practice location
5038 Hunter Rd
Oolteah, TN 37363
Mailing address
8161 Double Eagle CT
Ooltewah, TN 37363-7177
Phone (787) 382-8566
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.