Overdyke, Jeffrey T
Overdyke, Jeffrey T is an individual health care provider with primary practice located at 2508 Bert Kouns Loop Suite 303, Shreveport LA 71118-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Overdyke, Jeffrey T can be contacted via phone (318) 212-5850.Contact Information
Primary practice address
2508 Bert Kouns Loop Suite 303
Shreveport LA 71118-3133
Phone: (318) 212-5850
Fax: (318) 212-5855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 203179 | Louisiana |
Profile Details
| NPI number | 1942414552 |
|---|---|
| LBN Legal business name | Overdyke, Jeffrey T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 8th, 2010 - about 15 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 | 1942414552 | NPPES |
| Louisiana | Other | 4M560DL73 | MEDICARE PTAN |
| Louisiana | MEDICAID | 1810975 | MEDICARE PTAN |
Popular Providers
-
Tran, John T
2210 E Illinois Ave Ste 401 , Fresno CA 93701 -
Rosecan, Arthur Scott
224 Cornwall St Nw , Leesburg VA 20176-2701 -
Bendfeldt, Fernando
101 Med Tech Pkwy Ste 407, Johnson City TN 37604-4000 -
Prochaska, Mark Lawrence
7011 W 121St St Ste 105, Overland Park KS 66209-2029 -
Rosenzweig, Andrew Seth
345 Blackstone Blvd Rm. 232 2Nd Floor Annex Building, Providence RI 02906-4800 -
Laitman, Leila Bender
17 Barstow Rd Ste 400, Great Neck NY 11021-2213 -
Ellison, James M
501 W 14Th St Swank Memory Care Center, Gateway Bldg, 5Th Floor, Wilmington DE 19801-1013 -
Hershkowitz, Laura Lynn
316 Martin Luther King Jr Way #408, Tacoma WA 98405-4252