Bautista, Constancio M

Bautista, Constancio M is an individual health care provider with primary practice located at 161 West St , Mt Washington KY 40047-7184. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bautista, Constancio M can be contacted via phone (502) 538-7425.

Contact Information

Primary practice address
161 West St Mt Washington KY 40047-7184
Phone: (502) 538-7425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16733 Kentucky

Profile Details

NPI number 1417937962
LBN Legal business name Bautista, Constancio M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - 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.

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