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
Phone: (973) 994-1101
Fax: (973) 994-1101
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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