Overton Iii, Dolphin H

Overton Iii, Dolphin H is an individual health care provider with primary practice located at 2806B Wooten Blvd Sw , Wilson NC 27893-8624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Overton Iii, Dolphin H can be contacted via phone (252) 360-4374.

Contact Information

Primary practice address
2806B Wooten Blvd Sw Wilson NC 27893-8624
Fax: (252) 360-4391
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39313 North Carolina

Profile Details

NPI number 1417907619
LBN Legal business name Overton Iii, Dolphin H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 19th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417907619 NPPES
North Carolina Other 47292 MEDCOST
North Carolina MEDICAID 8964393 MEDCOST
North Carolina Other 7177348 MEDCOST
North Carolina Other 2331698 MEDCOST
North Carolina Other 64393 MEDCOST
North Carolina Other 1521310 MEDCOST

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