Overton, Clayton Justus

Overton, Clayton Justus is an sole proprietor health care provider with primary practice located at 23 Claudia Dr , Covington LA 70435-9513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Overton, Clayton Justus can be contacted via phone (985) 893-5767.

Contact Information

Primary practice address
23 Claudia Dr Covington LA 70435-9513
Fax:
Website:

Profile Details

NPI number 1598712135
LBN Legal business name Overton, Clayton Justus
Credentials MD, MPH, MSPH, FAEEM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated May 13th, 2024 - about 2 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 1598712135 NPPES
California Other 00A960780 MEDI-CAL
California MEDICAID 3870437 MEDI-CAL
California MEDICAID 00126235 MEDI-CAL

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