Individual
JEFFREY T OVERDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 303, SHREVEPORT, LA 71118-3133
(318) 212-5850
(318) 212-5855
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8574
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
203179
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810975
—
LA
01
—
4M560DL73
MEDICARE PTAN
LA
Enumeration date
05/10/2007
Last updated
11/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us