Overton, Max Nagle
Overton, Max Nagle is an sole proprietor health care provider with primary practice located at 856 Middle Creek Rd , Sevierville TN 37862-5035. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Overton, Max Nagle can be contacted via phone (865) 428-2193.Contact Information
Primary practice address
856 Middle Creek Rd
Sevierville TN 37862-5035
Phone: (865) 428-2193
Fax: (865) 428-2090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | P0000000983 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000000983 | Tennessee |
Profile Details
| NPI number | 1255358057 |
|---|---|
| LBN Legal business name | Overton, Max Nagle |
| Credentials | PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1255358057 | NPPES |
| Tennessee | MEDICAID | 3685358 |
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