Overby, Averell S
Overby, Averell S is an individual health care provider with primary practice located at W 290 Grover Center Ohio University, Athens OH 45701-2979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Overby, Averell S can be contacted via phone (740) 593-2624.Contact Information
Primary practice address
W 290 Grover Center Ohio University
Athens OH 45701-2979
Phone: (740) 593-2624
Fax: (740) 593-0293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT001377 | Ohio |
Profile Details
| NPI number | 1609998236 |
|---|---|
| LBN Legal business name | Overby, Averell S |
| Credentials | PT DN PH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
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 | 1609998236 | NPPES |
| Other | 000000163115 | ANTHEM | |
| MEDICAID | 062447 | ANTHEM |
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