Estrada, Benjamin

Estrada, Benjamin is an individual health care provider with primary practice located at 1601 Center Street Ste 1S, Mobile AL 36604-3207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Estrada, Benjamin can be contacted via phone (251) 410-5437.

Contact Information

Primary practice address
1601 Center Street Ste 1S Mobile AL 36604-3207
Phone: (251) 410-5437
Fax: (251) 434-3852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16964 Alabama
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 16964 Alabama

Profile Details

NPI number 1659325116
LBN Legal business name Estrada, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 2nd, 2017 - about 8 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 1659325116 NPPES
Louisiana MEDICAID 1991635
Louisiana Other 51504520
Louisiana MEDICAID 000088154
Louisiana MEDICAID 255604900
Louisiana Other 51088154
Louisiana Other 12-10131
Louisiana MEDICAID 00111730

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