Bautista, Lina Judith

Bautista, Lina Judith is an individual health care provider with primary practice located at 2800 Providence Dr , Anchorage AK 99508-4623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bautista, Lina Judith can be contacted via phone (907) 269-7152.

Contact Information

Primary practice address
2800 Providence Dr Anchorage AK 99508-4623
Phone: (907) 269-7152
Fax: (907) 269-7251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2785 Alaska

Profile Details

NPI number 1982625596
LBN Legal business name Bautista, Lina Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 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 1982625596 NPPES
Alaska MEDICAID MD02182

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