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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932168697 NPPES
Indiana Other P00818711 RAILROAD MEDICARE
Indiana MEDICAID 036057641 RAILROAD MEDICARE

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