Estle, David Theodore

Estle, David Theodore is an individual health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Estle, David Theodore can be contacted via phone (912) 691-4200.

Contact Information

Primary practice address
1326 Eisenhower Dr Savannah GA 31406-3928
Phone: (912) 691-4200
Fax: (912) 691-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 037198 Georgia

Profile Details

NPI number 1235138777
LBN Legal business name Estle, David Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 25th, 2008 - about 16 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 1235138777 NPPES
Georgia MEDICAID 000558082G
Georgia MEDICAID 165314
Georgia Other P00231505

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