Provider Demographics
NPI:1861613473
Name:OSTERKAMP, BEN W (DC)
Entity type:Individual
Prefix:DR
First Name:BEN
Middle Name:W
Last Name:OSTERKAMP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 NORTH MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654
Mailing Address - Country:US
Mailing Address - Phone:864-369-2288
Mailing Address - Fax:
Practice Address - Street 1:26 NORTH MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:HONEA PATH
Practice Address - State:SC
Practice Address - Zip Code:29654
Practice Address - Country:US
Practice Address - Phone:864-369-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor