Estrada, Alfonso Q
Estrada, Alfonso Q is an individual health care provider with primary practice located at 1429 N 6Th St , Terre Haute IN 47807-1037. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Estrada, Alfonso Q can be contacted via phone (812) 242-3175.Contact Information
Primary practice address
1429 N 6Th St
Terre Haute IN 47807-1037
Phone: (812) 242-3175
Fax: (812) 242-3543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036-057641 | Illinois |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01065735A | Indiana |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 01065735A | Indiana |
Profile Details
NPI number | 1932168697 |
---|---|
LBN Legal business name | Estrada, Alfonso Q |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Mar 14th, 2013 - about 11 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 | 1932168697 | NPPES |
Indiana | Other | P00818711 | RAILROAD MEDICARE |
Indiana | MEDICAID | 036057641 | RAILROAD MEDICARE |
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