Overly, Jason Matthew

Overly, Jason Matthew is an individual health care provider with primary practice located at Uss Ponce Lpd-15 , Fpo AE 09582-1717. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Overly, Jason Matthew can be contacted via phone 75744439000.

Contact Information

Primary practice address
Uss Ponce Lpd-15 Fpo AE 09582-1717
Phone: 75744439000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1356655625
LBN Legal business name Overly, Jason Matthew
Credentials NAVY IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 2010 - about 14 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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