Overholt, Brandon
Overholt, Brandon is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurocritical Care, which is considered as his primary health care specialty. Overholt, Brandon can be contacted via phone (414) 649-6000.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 649-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 72336 | Wisconsin |
Profile Details
| NPI number | 1275064792 |
|---|---|
| LBN Legal business name | Overholt, Brandon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2017 |
| Last updated | Aug 4th, 2023 - about 2 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 | 1275064792 | NPPES |
| Wisconsin | MEDICAID | 100095429 |
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