Healthcare Provider Details

I. General information

NPI: 1518946698
Provider Name (Legal Business Name): JEFFREY C OVERSTREET D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3995 BROADWAY STE 150
GROVE CITY OH
43123-2639
US

IV. Provider business mailing address

3995 BROADWAY STE 150
GROVE CITY OH
43123-2639
US

V. Phone/Fax

Practice location:
  • Phone: 614-883-8100
  • Fax: 614-883-8101
Mailing address:
  • Phone: 614-883-8100
  • Fax: 614-883-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2503
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: