Overton, Edward Anthony

Overton, Edward Anthony is an individual health care provider with primary practice located at 2315 W Arbors Dr Ste 115 , Charlotte NC 28262-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Overton, Edward Anthony can be contacted via phone (704) 817-6676.

Contact Information

Primary practice address
2315 W Arbors Dr Ste 115 Charlotte NC 28262-2639
Phone: (704) 817-6676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS-010979L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 1146 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 53011 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 200400934 North Carolina

Profile Details

NPI number 1093753329
LBN Legal business name Overton, Edward Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 23rd, 2021 - about 5 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 1093753329 NPPES
Pennsylvania Other 2335844000 IBC
Pennsylvania MEDICAID NC1316 IBC
Pennsylvania Other 3686882 IBC
Pennsylvania MEDICAID 5908315 IBC
Pennsylvania Other 6738998 IBC

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