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Contact Information

NICOLAS A OVERBY
WINDSOR ELMHAVEN CARE CENTE 6940 PACIFIC AVE
STOCKTON, CA95207
 Phone: 209-477-4817
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLAS A OVERBY · (Male)

NPI Number 1518436229
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2018
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 181129
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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