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Contact Information

WILLIAM L OVERDYKE, MD
1500 LINE AVENUE
SUITE 100
SHREVEPORT, LA71101
 Phone: 318-635-3052
 Fax: 318-635-3072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM L OVERDYKE · (Male)

NPI # 1295739001
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 09/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 014596
  • LA Medicaid 1329673
  • LA Other 1053315846 GROUP NPI NUMBER
  • LA Other 200016529 RAILROAD MEDICARE
Hospital affiliation(s)
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
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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