Bautista, Edgar Allan

Bautista, Edgar Allan is an sole proprietor health care provider with primary practice located at Po Box 160 , Shiprock NM 87420-0160. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Bautista, Edgar Allan can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Po Box 160 Shiprock NM 87420-0160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 95330098 California

Profile Details

NPI number 1760230809
LBN Legal business name Bautista, Edgar Allan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2024
Last updated May 13th, 2024 - about 7 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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