Bautista, Soliven C

Bautista, Soliven C is an individual health care provider with primary practice located at 9252 N Green Bay Rd , Brown Deer WI 53209-1104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bautista, Soliven C can be contacted via phone (414) 527-5089.

Contact Information

Primary practice address
9252 N Green Bay Rd Brown Deer WI 53209-1104
Phone: (414) 527-5089
Fax: (414) 365-6349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 44156-020 Wisconsin

Profile Details

NPI number 1669470134
LBN Legal business name Bautista, Soliven C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 28th, 2014 - about 12 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 1669470134 NPPES
Wisconsin Other 045873840 MEDICARE PTAN

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