Estes, Terrell C

Estes, Terrell C is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Estes, Terrell C can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Fax: (423) 968-3453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10352 Tennessee

Profile Details

NPI number 1679574073
LBN Legal business name Estes, Terrell C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 12th, 2010 - about 14 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 1679574073 NPPES
Other 300066640 PGBA (RR MEDICARE)
MEDICAID 7213409 PGBA (RR MEDICARE)
MEDICAID 94927361 PGBA (RR MEDICARE)
Other R07104 PGBA (RR MEDICARE)
MEDICAID 0213231000 PGBA (RR MEDICARE)
Other 3058518 PGBA (RR MEDICARE)
MEDICAID 3035646 PGBA (RR MEDICARE)
Other 84799 PGBA (RR MEDICARE)

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