Bautista, Erica
Bautista, Erica is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bautista, Erica can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1010 Valley St
Dayton OH 45404-2070
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.013134 | Ohio |
Profile Details
| NPI number | 1508243494 |
|---|---|
| LBN Legal business name | Bautista, Erica |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Dec 21st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508243494 | NPPES |
| Ohio | MEDICAID | 0310373 |
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