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
Phone: (812) 283-2369
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 52172 | Kentucky |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01074052A | Indiana |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 31063 | Oklahoma |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Kentucky | |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01074052A | Indiana |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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