NPI Code Details Logo

NPI 1780547737

NPI 1780547737 : F&A OVERDRIVE : GALION, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780547737
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    F&A OVERDRIVE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/06/2025
-----------------------------------------------------
    Last Update Date     |    12/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    971 S MARKET ST 
-----------------------------------------------------
    City                 |    GALION
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44833-3232
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    419-631-0673
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    971 S MARKET ST 
-----------------------------------------------------
    City                 |    GALION
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44833-3232
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     ANDREW  SEYMOUR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    419-631-0673
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    372500000X
-----------------------------------------------------
    Taxonomy Name        |    Chore Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.