Bautista, Jose

Bautista, Jose is an individual health care provider with primary practice located at 4718 Garden Pl , Las Vegas NV 89107-4150. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bautista, Jose can be contacted via phone (702) 544-6549.

Contact Information

Primary practice address
4718 Garden Pl Las Vegas NV 89107-4150
Phone: (702) 544-6549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1487206942
LBN Legal business name Bautista, Jose
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2019
Last updated Jul 15th, 2019 - about 6 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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