MEDICARE: WILLIAM H. OVERHOLSER, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35033712	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699955609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM H. OVERHOLSER, M.D., INC.

Provider Business Mailing Address
First Line	:	1 E MAIN ST
Second Line	:	SUITE 100A
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-826-7621
Fax Number	:	740-826-1112

Provider Business Practice Location Address
First Line	:	1 E MAIN ST
Second Line	:	SUITE 100A
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-826-7621
Fax Number	:	740-826-1112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM H. OVERHOLSER
Credential	:	M.D.
Telephone Number	:	740-826-7621

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/07/2007

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