Overbeeke, Cornell
Overbeeke, Cornell is an individual health care provider with primary practice located at 1124 Willowood Cir , Gulf Breeze FL 32563-3492. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Overbeeke, Cornell can be contacted via phone (865) 766-6870.Contact Information
Primary practice address
1124 Willowood Cir
Gulf Breeze FL 32563-3492
Phone: (865) 766-6870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 254638 | New York |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036097433 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43268 | Tennessee |
Profile Details
| NPI number | 1881793818 |
|---|---|
| LBN Legal business name | Overbeeke, Cornell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881793818 | NPPES |
| Illinois | Other | 04515240 | BLUE CROSS PROVIDER ID |
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