Michael E. Estess, M. D. Chartered

LBN: Michael E. Estess, M. D. Chartered
Michael E. Estess, M. D. Chartered is an health care organization with primary practice located at 1471 Shoreline Dr Suite 119, Boise ID 83702-6879. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Michael E. Estess, M. D. Chartered can be contacted via phone (208) 345-2630, or through Estess, Michael E. via phone (208) 345-2630.

Contact Information

Primary practice address
1471 Shoreline Dr Suite 119 Boise ID 83702-6879
Fax: (208) 345-6504
Website:
Authorized official contact:
Name: Estess, Michael E. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X M-3173 Idaho

Profile Details

NPI number 1558585455
LBN Legal business name Michael E. Estess, M. D. Chartered
DBA Doing business as
Authorized official Estess, Michael E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558585455 NPPES
Idaho Other 000010003612 BLUE SHIELD
Idaho Other DG399 BLUE SHIELD

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