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Contact Information

MICHAEL E. ESTESS, M. D. CHARTERED
1471 SHORELINE DR
SUITE 119
BOISE, ID83702-6879
 Phone: 208-345-2630
 Fax: 208-345-6504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MICHAEL E. ESTESS, M. D. CHARTERED

NPI Number 1558585455
LBN Legal business name MICHAEL E. ESTESS, M. D. CHARTERED
Authorized official MICHAEL ESTESS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # M-3173
ID Other DG399 BLUE CROSS
ID Other 000010003612 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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