Overland, Michael

Overland, Michael is an sole proprietor health care provider with primary practice located at 513 W Mount Pleasant Ave Suite 306, Livingston NJ 07039-1710. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Overland, Michael can be contacted via phone (973) 994-1101.

Contact Information

Primary practice address
513 W Mount Pleasant Ave Suite 306 Livingston NJ 07039-1710
Fax: (973) 994-1101
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X SI03685 New Jersey

Profile Details

NPI number 1255498382
LBN Legal business name Overland, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Dec 11th, 2016 - about 8 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 1255498382 NPPES
New Jersey Other 053710 VALUE OPTIONS
New Jersey Other P1219024 VALUE OPTIONS
New Jersey Other 460217000 VALUE OPTIONS

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