Bautista, Emmanuel Estavillo

Bautista, Emmanuel Estavillo is an individual health care provider with primary practice located at Southwest Ct Mental Health System Attn Sandra Grazynski 1635 Central Avenue Room 213, Bridgeport CT 06610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bautista, Emmanuel Estavillo can be contacted via phone (203) 551-7660.

Contact Information

Primary practice address
Southwest Ct Mental Health System Attn Sandra Grazynski 1635 Central Avenue Room 213 Bridgeport CT 06610
Phone: (203) 551-7660
Fax: (203) 551-7481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025021 Connecticut

Profile Details

NPI number 1902965106
LBN Legal business name Bautista, Emmanuel Estavillo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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