Verder Bautista, Pamela N
Verder Bautista, Pamela N is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Verder Bautista, Pamela N can be contacted via phone (530) 666-1631.Contact Information
Primary practice address
632 W Gibson Rd
Woodland CA 95695
Phone: (530) 666-1631
Fax: (530) 668-4839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A76841 | California |
Profile Details
| NPI number | 1558396028 |
|---|---|
| LBN Legal business name | Verder Bautista, Pamela N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 2nd, 2009 - about 17 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 | 1558396028 | NPPES |
| California | MEDICAID | 00A768410 | |
| California | Other | 00A768410 |
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