Overdyke, William L
Overdyke, William L is an individual health care provider with primary practice located at 1500 Line Avenue Suite 100, Shreveport LA 71101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Overdyke, William L can be contacted via phone (318) 635-3052.Contact Information
Primary practice address
1500 Line Avenue Suite 100
Shreveport LA 71101
Phone: (318) 635-3052
Fax: (318) 635-3072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 014596 | Louisiana |
Profile Details
| NPI number | 1295739001 |
|---|---|
| LBN Legal business name | Overdyke, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 10th, 2009 - about 15 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 | 1295739001 | NPPES |
| Louisiana | MEDICAID | 1329673 | |
| Louisiana | Other | 1053315846 | |
| Louisiana | Other | 200016529 |
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