Bautista, Harold C

Bautista, Harold C is an individual health care provider with primary practice located at 3312 Fall Hill Ave , Fredericksburg VA 22401-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Bautista, Harold C can be contacted via phone (540) 371-7730.

Contact Information

Primary practice address
3312 Fall Hill Ave Fredericksburg VA 22401-3000
Phone: (540) 371-7730
Fax: (540) 371-4790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101048334 Virginia

Profile Details

NPI number 1235197195
LBN Legal business name Bautista, Harold C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235197195 NPPES
Virginia Other P00008506 MEDICARE RAILROAD
Virginia MEDICAID 6908057 MEDICARE RAILROAD

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