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Contact Information

JOHN R OVERBECK, MD
4803 55TH AVE S
SEATTLE, WA98118-1518
 Phone: 206-579-8871
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for JOHN R OVERBECK · (Male)

NPI Number 1700864261
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # 24396
  • PA License # MD455386
  • WA License # MD00035253
  • WA Medicaid 8234643
  • WA Other 130268 L&I PROVIDER NUMBER
  • WA Other 175496 L&I PROVIDER NUMBER
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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