Bautista, Josef Edrik Keith Abiog
Bautista, Josef Edrik Keith Abiog is an sole proprietor health care provider with primary practice located at 2707 Colby Ave Ste 718 , Everett WA 98201-3564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bautista, Josef Edrik Keith Abiog can be contacted via phone (425) 339-5413.Contact Information
Primary practice address
2707 Colby Ave Ste 718
Everett WA 98201-3564
Phone: (425) 339-5413
Fax: (425) 339-4213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD15199 | Rhode Island |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD61032416 | Washington |
Profile Details
| NPI number | 1700131125 |
|---|---|
| LBN Legal business name | Bautista, Josef Edrik Keith Abiog |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2012 |
| Last updated | Mar 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700131125 | NPPES |
| Washington | MEDICAID | 2157737 |
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