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
Phone: (520) 381-0380
Fax: (520) 836-1826
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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