Estill, Carol J
Estill, Carol J is an individual health care provider with primary practice located at 7861 State Road 60 , Cedarburg WI 53012-9305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Estill, Carol J can be contacted via phone (262) 546-1050.Contact Information
Primary practice address
7861 State Road 60
Cedarburg WI 53012-9305
Phone: (262) 546-1050
Fax: (262) 546-1051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39041 | Wisconsin |
Profile Details
| NPI number | 1316970304 |
|---|---|
| LBN Legal business name | Estill, Carol J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 12th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316970304 | NPPES |
| Wisconsin | MEDICAID | 1316970304 |
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