Provider Demographics
NPI:1619510377
Name:NLOB INC.
Entity Type:Organization
Organization Name:NLOB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-330-8298
Mailing Address - Street 1:929 SW SIMPSON AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3599
Mailing Address - Country:US
Mailing Address - Phone:541-330-8298
Mailing Address - Fax:
Practice Address - Street 1:929 SW SIMPSON AVE STE 150
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3599
Practice Address - Country:US
Practice Address - Phone:541-330-8298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NLOB INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty