Estabrook, Michele Marie

Estabrook, Michele Marie is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Infectious Disease, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Estabrook, Michele Marie can be contacted via phone (314) 454-6050.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Infectious Disease Saint Louis MO 63110-1002
Phone: (314) 454-6050
Fax: (855) 887-7850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008022568 Missouri
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 2008022568 Missouri

Profile Details

NPI number 1174633572
LBN Legal business name Estabrook, Michele Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174633572 NPPES
Missouri MEDICAID 201180601

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