Overton, John B

Overton, John B is an sole proprietor health care provider with primary practice located at 420 W Acacia St Suite 17, Stockton CA 95203-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Overton, John B can be contacted via phone (209) 851-3883.

Contact Information

Primary practice address
420 W Acacia St Suite 17 Stockton CA 95203-2441
Phone: (209) 851-3883
Fax: (209) 851-3867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C38023 California

Profile Details

NPI number 1144261173
LBN Legal business name Overton, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Nov 15th, 2016 - about 10 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 1144261173 NPPES
California MEDICAID OOC380230

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