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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1891919296 NPPES
Wyoming MEDICAID 125149000
Wyoming MEDICAID 98279246
Wyoming Other P00626871
Wyoming Other S5008

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