Bautista, Pedro D

Bautista, Pedro D is an individual health care provider with primary practice located at 2000 W Briggsmore Ave I, Modesto CA 95350-3839. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Bautista, Pedro D can be contacted via phone (209) 526-1440.

Contact Information

Primary practice address
2000 W Briggsmore Ave I Modesto CA 95350-3839
Phone: (209) 526-1440
Fax: (209) 550-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689916561
LBN Legal business name Bautista, Pedro D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated May 28th, 2015 - about 11 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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