Estes, Gregory Lane
Estes, Gregory Lane is an individual health care provider with primary practice located at 7930 N Shadeland Ave , Indianapolis IN 46250-2691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Estes, Gregory Lane can be contacted via phone (317) 621-6725.Contact Information
Primary practice address
7930 N Shadeland Ave
Indianapolis IN 46250-2691
Phone: (317) 621-6725
Fax: (317) 621-4545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01052313A | Indiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 01052313A | Indiana |
Profile Details
NPI number | 1760416119 |
---|---|
LBN Legal business name | Estes, Gregory Lane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760416119 | NPPES |
Indiana | Other | 000000764708 | ANTHEM |
Indiana | Other | P01133603 | ANTHEM |
Indiana | MEDICAID | 200258160 | ANTHEM |
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