Estabrook, Neil Craine

Estabrook, Neil Craine is an individual health care provider with primary practice located at 420 N 26Th St , Lafayette IN 47904-2848. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Estabrook, Neil Craine can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
420 N 26Th St Lafayette IN 47904-2848
Phone: (765) 448-8000
Fax: (765) 448-7623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01076841A Indiana

Profile Details

NPI number 1124317102
LBN Legal business name Estabrook, Neil Craine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Feb 2nd, 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 1124317102 NPPES
Indiana Other 000001017968 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201101670 ANTHEM PROVIDER NUMBER

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