Overbaugh, Nicholas Joseph

Overbaugh, Nicholas Joseph is an sole proprietor health care provider with primary practice located at 16535 W Bluemound Rd , Brookfield WI 53005-5936. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Overbaugh, Nicholas Joseph can be contacted via phone (262) 789-1191.

Contact Information

Primary practice address
16535 W Bluemound Rd Brookfield WI 53005-5936
Phone: (262) 789-1191
Fax: (262) 821-6180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6054-125 Wisconsin

Profile Details

NPI number 1184076754
LBN Legal business name Overbaugh, Nicholas Joseph
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2016
Last updated Jul 7th, 2016 - about 10 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 1184076754 NPPES
Wisconsin MEDICAID 42170300

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