Provider Demographics
NPI:1255228052
Name:OSBORNE, WILLIAM (RRT-ACCS, RRT-NPS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:RRT-ACCS, RRT-NPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BUFFALO AVE NW STE 1106
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4007
Mailing Address - Country:US
Mailing Address - Phone:704-954-4663
Mailing Address - Fax:
Practice Address - Street 1:1 BUFFALO AVE NW STE 1106
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4007
Practice Address - Country:US
Practice Address - Phone:704-954-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38072279P1005X, 227900000X
2279P1004X, 2279P1005X, 2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation
No2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist