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Contact Information

SEAN P OVERLIE, IDC
2496 BAUER RD.
BMC MCAS MIRAMAR
SAN DIEGO, CA92145
 Phone: 858-577-9864
 Fax: 858-577-9965
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for SEAN P OVERLIE · (Male)

NPI # 1558500090
Status Active
Credentials IDC
Entity Individual
Enumeration date 02/06/2009
Last updated 02/06/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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