Estabillo, David Collado

Estabillo, David Collado is an individual health care provider with primary practice located at 2000 W 21St St Ste E3 , Clovis NM 88101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Estabillo, David Collado can be contacted via phone (954) 655-3570.

Contact Information

Primary practice address
2000 W 21St St Ste E3 Clovis NM 88101
Phone: (954) 655-3570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 264709 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-18171 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02364 New Mexico

Profile Details

NPI number 1730427014
LBN Legal business name Estabillo, David Collado
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2013
Last updated May 30th, 2018 - about 7 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 1730427014 NPPES
North Carolina MEDICAID 1730427014

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