Green, Gabriel Estes
Green, Gabriel Estes is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, Gabriel Estes can be contacted via phone (303) 306-7783.Contact Information
Primary practice address
1024 S Lemay Ave
Fort Collins CO 80524-3929
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.117244 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 45414 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7812A | Wyoming |
Profile Details
NPI number | 1891919296 |
---|---|
LBN Legal business name | Green, Gabriel Estes |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2007 |
Last updated | May 13th, 2014 - about 10 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 | 1891919296 | NPPES |
Wyoming | MEDICAID | 125149000 | |
Wyoming | MEDICAID | 98279246 | |
Wyoming | Other | P00626871 | |
Wyoming | Other | S5008 |
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