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Contact Information

BRANDON OVERHOLT
2900 W OKLAHOMA AVE
MILWAUKEE, WI53215-4330
 Phone: 414-649-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRANDON OVERHOLT · (Male)

NPI # 1275064792
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2017
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 72336
  • WI Medicaid 100095429
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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