Edwin M Overholt in La Crosse - Otolaryngology/facial Plastic Surgery
Edwin M Overholt - NPI 1073515342
Edwin M Overholt is a Otolaryngology/facial Plastic Surgery in La Crosse, Wisconsin. Edwin M Overholt practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Edwin M Overholt is 1073515342. The last update date is 2015-06-04.
Edwin M Overholt's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Edwin M Overholt is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin M Overholt |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073515342 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 33104 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31808900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edwin M Overholt by the Centers for Medicare & Medicaid Services?
The Edwin M Overholt has been assigned the NPI (National Provider Identifier) 1073515342. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edwin M Overholt is located?
The Edwin M Overholt is situated at the following address: 1836 South Ave, La Crosse, WI, 5460154290.
What is Edwin M Overholt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edwin M Overholt is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Yx0905X.
When did Edwin M Overholt receive its 1073515342 assignment?
The Edwin M Overholt was assigned its 1073515342 on 2005-06-01, which is the date when this unique identifier was issued to the organization.
As of what date were the Edwin M Overholt's details last updated?
The information pertaining to the Edwin M Overholt, including its address, specialty, and other details, was most recently updated on 2015-06-04.