Overly, George E
Overly, George E is an individual health care provider with primary practice located at 800 E Ellis Rd , Norton Shores MI 49441-5622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Overly, George E can be contacted via phone (231) 798-9840.Contact Information
Primary practice address
800 E Ellis Rd
Norton Shores MI 49441-5622
Phone: (231) 798-9840
Fax: (231) 798-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301052054 | Michigan |
Profile Details
| NPI number | 1962403709 |
|---|---|
| LBN Legal business name | Overly, George E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 4th, 2012 - about 13 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 | 1962403709 | NPPES |
| Massachusetts | MEDICAID | 7000006801 |
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