Provider Demographics
NPI:1619282001
Name:OVERTURF, NATHAN D (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:D
Last Name:OVERTURF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 N FERRY ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-4107
Mailing Address - Country:US
Mailing Address - Phone:641-682-4476
Mailing Address - Fax:641-682-4476
Practice Address - Street 1:508 N FERRY ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-4107
Practice Address - Country:US
Practice Address - Phone:641-682-4476
Practice Address - Fax:641-682-4476
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor