Provider Demographics
NPI:1285024893
Name:OVERSCHMIDT, DELIA L (DC)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:L
Last Name:OVERSCHMIDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:
Other - Last Name:HOBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:355 OZARK TRAIL DR STE 9
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2164
Mailing Address - Country:US
Mailing Address - Phone:636-394-2225
Mailing Address - Fax:
Practice Address - Street 1:355 OZARK TRAIL DR STE 9
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2164
Practice Address - Country:US
Practice Address - Phone:636-394-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015002676111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor