Provider Demographics
NPI:1013918945
Name:VANSCHOICK-OVERBEEK, HEATHER E (PA)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:E
Last Name:VANSCHOICK-OVERBEEK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 HERITAGE OAK LN
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4250
Mailing Address - Country:US
Mailing Address - Phone:269-704-3133
Mailing Address - Fax:269-979-6380
Practice Address - Street 1:2 HERITAGE OAK LN
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4250
Practice Address - Country:US
Practice Address - Phone:269-704-3133
Practice Address - Fax:269-979-6380
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601003136363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5601003136OtherBCBS LICNSE
MI5601003136OtherBCBS LICNSE
MIS92153Medicare UPIN