Bautista, Alexander Francisco

Bautista, Alexander Francisco is an individual health care provider with primary practice located at 130 Hunter Station Way , Sellersburg IN 47172-8930. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bautista, Alexander Francisco can be contacted via phone (812) 283-2369.

Contact Information

Primary practice address
130 Hunter Station Way Sellersburg IN 47172-8930
Fax:
Website:

Profile Details

NPI number 1073754321
LBN Legal business name Bautista, Alexander Francisco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Feb 26th, 2024 - about 10 months 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 1073754321 NPPES
Kentucky Other 52172 LICENSE
Kentucky Other 01074052A LICENSE
Kentucky MEDICAID 300022245 LICENSE
Kentucky Other K277960 LICENSE
Kentucky MEDICAID 7100166170 LICENSE

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