Overly, Frank
Overly, Frank is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Overly, Frank can be contacted via phone (401) 444-4000.Contact Information
Primary practice address
593 Eddy St Claverick 2
Providence RI 02903-4923
Phone: (401) 444-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD10315 | Rhode Island |
Profile Details
NPI number | 1679587505 |
---|---|
LBN Legal business name | Overly, Frank |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Aug 24th, 2020 - about 5 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 | 1679587505 | NPPES |
Rhode Island | Other | 1679587505 | NPI |
Rhode Island | Other | 12/29/2008 | NPI |
Rhode Island | Other | 04/15/2009 | NPI |
Rhode Island | MEDICAID | 0123391 | NPI |
Rhode Island | Other | 10-08-2009 | NPI |
Rhode Island | Other | 03/01/2009 | NPI |
Rhode Island | MEDICAID | 7008484 | NPI |
Rhode Island | Other | 939025129 | NPI |
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