Estes, Stephen Jerome

Estes, Stephen Jerome is an individual health care provider with primary practice located at 1700 North Waterman Ave , San Bernardino CA 92404-5105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Estes, Stephen Jerome can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 North Waterman Ave San Bernardino CA 92404-5105
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C37306 California

Profile Details

NPI number 1619947306
LBN Legal business name Estes, Stephen Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 11th, 2008 - about 17 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 1619947306 NPPES
California MEDICAID 00C373060

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