Overton, Edward Anthony
Overton, Edward Anthony is an individual health care provider with primary practice located at 2315 W Arbors Dr Ste 115 , Charlotte NC 28262-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Overton, Edward Anthony can be contacted via phone (704) 817-6676.Contact Information
Primary practice address
2315 W Arbors Dr Ste 115
Charlotte NC 28262-2639
Phone: (704) 817-6676
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | OS-010979L | Pennsylvania |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 1146 | South Carolina |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 53011 | Georgia |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 200400934 | North Carolina |
Profile Details
NPI number | 1093753329 |
---|---|
LBN Legal business name | Overton, Edward Anthony |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jun 23rd, 2021 - about 4 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 | 1093753329 | NPPES |
Pennsylvania | Other | 2335844000 | IBC |
Pennsylvania | MEDICAID | NC1316 | IBC |
Pennsylvania | Other | 3686882 | IBC |
Pennsylvania | MEDICAID | 5908315 | IBC |
Pennsylvania | Other | 6738998 | IBC |
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