Overley, Matthew Robert

Overley, Matthew Robert is an individual health care provider with primary practice located at 6029 W 10Th St , Indianapolis IN 46224-6115. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Overley, Matthew Robert can be contacted via phone (317) 957-2550.

Contact Information

Primary practice address
6029 W 10Th St Indianapolis IN 46224-6115
Phone: (317) 957-2550
Fax: (317) 957-2560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01066941A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 273824 New York

Profile Details

NPI number 1558537902
LBN Legal business name Overley, Matthew Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Aug 13th, 2015 - about 11 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 1558537902 NPPES
Indiana MEDICAID 201005150

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