Overdyke, Jeffrey T

Overdyke, Jeffrey T is an individual health care provider with primary practice located at 2508 Bert Kouns Loop Suite 303, Shreveport LA 71118-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Overdyke, Jeffrey T can be contacted via phone (318) 212-5850.

Contact Information

Primary practice address
2508 Bert Kouns Loop Suite 303 Shreveport LA 71118-3133
Phone: (318) 212-5850
Fax: (318) 212-5855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 203179 Louisiana

Profile Details

NPI number 1942414552
LBN Legal business name Overdyke, Jeffrey T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Nov 8th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942414552 NPPES
Louisiana Other 4M560DL73 MEDICARE PTAN
Louisiana MEDICAID 1810975 MEDICARE PTAN

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