Doctor Name: | PAT ESTEY |
NPI Number: | 1215148333 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
Business Phone Number: | 2183353200 |
Business Fax Number: | |
Mailing Address: | 425 7th St Nw, CASS LAKE |
State: | MN |
Postal Code: | 566333360 |
Phone Number: | 2183353200 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |