Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B-527 | NV |
N | 111NI0013X | Independent Medical Examiner | B-527 | NV |
N | 111NX0800X | Chiropractor Orthopedic Specialist | B-527 | NV |
NPI | 1578767364 |
---|---|
Provider Name | Dr. James Thomas Overland SR. |
First Address | North Las Vegas, NV 89030-6512 |
Second Address | North Las Vegas, NV 89030-6512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3602007 | (05) | NV |
U4759 | (02) | NV |