Bautista, Eliseo A.

Bautista, Eliseo A. is an individual health care provider with primary practice located at 5855 Bremo Rd Suite 506, Richmond VA 23226-1926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bautista, Eliseo A. can be contacted via phone (804) 285-3225.

Contact Information

Primary practice address
5855 Bremo Rd Suite 506 Richmond VA 23226-1926
Phone: (804) 285-3225
Fax: (804) 285-0360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101051604 Virginia

Profile Details

NPI number 1073566048
LBN Legal business name Bautista, Eliseo A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 12th, 2012 - about 14 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 1073566048 NPPES
Virginia Other 541267736 CIGNA
Virginia Other 30961 CIGNA
Virginia Other 541267736 CIGNA
Virginia Other 010024536 CIGNA
Virginia Other 541267736 CIGNA
Virginia Other 002940C63 CIGNA
Virginia MEDICAID 010024536 CIGNA
Virginia Other 230046 CIGNA
Virginia Other 44645 CIGNA
Virginia Other C06695 CIGNA
Virginia Other 002940C63 CIGNA
Virginia Other 269001 CIGNA
Virginia Other 4270015 CIGNA
Virginia Other 002940C63 CIGNA

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