Provider Demographics
NPI:1770502080
Name:ESTOPINAL, NOEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:C
Last Name:ESTOPINAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6455
Mailing Address - Country:US
Mailing Address - Phone:256-880-4464
Mailing Address - Fax:256-880-4476
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-880-4464
Practice Address - Fax:256-880-4476
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013919174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910671Medicaid
AL529500990Medicaid
ALP00425295OtherRR MEDICARE NUMBER
AL51002590OtherBLUE CROSS BLUE SHIELD AL
AL051543216OtherBLUE CROSS BLUE SHIELD AL
AL51001032OtherBLUE CROSS BLUE SHIELD AL
AL051536268OtherBLUE CROSS BLUE SHIELD AL
AL009912667Medicaid
AL009931963Medicaid
AL009935251Medicaid
AL510I920012OtherMEDICARE NUMBER
ALK065OtherMEDICARE
AL510I920012OtherMEDICARE NUMBER
AL051555983Medicare ID - Type Unspecified