Overholt, Samuel Mark

Overholt, Samuel Mark is an individual health care provider with primary practice located at 9430 Park West Blvd , Knoxville TN 37923-4200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Overholt, Samuel Mark can be contacted via phone (865) 693-6065.

Contact Information

Primary practice address
9430 Park West Blvd Knoxville TN 37923-4200
Phone: (865) 693-6065
Fax: (865) 531-6325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28826 Tennessee

Profile Details

NPI number 1417952482
LBN Legal business name Overholt, Samuel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 5th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417952482 NPPES
Tennessee MEDICAID 3808346

Popular Providers