Estrada, Eddie

Estrada, Eddie is an individual health care provider with primary practice located at 1864 E Florence Blvd , Casa Grande AZ 85122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Estrada, Eddie can be contacted via phone (520) 381-0380.

Contact Information

Primary practice address
1864 E Florence Blvd Casa Grande AZ 85122
Fax: (520) 836-1826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33466 Arizona

Profile Details

NPI number 1386782472
LBN Legal business name Estrada, Eddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 9th, 2020 - about 4 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 1386782472 NPPES
Other 03-1881 MEDICARE
Other 031916 MEDICARE
Other ZFQ31815 MEDICARE
MEDICAID 261050 MEDICARE
Other Z165308 MEDICARE

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