Bautista, Justin Roland

Bautista, Justin Roland is an sole proprietor health care provider with primary practice located at 2770 S Maryland Pkwy Suite 211, Las Vegas NV 89109-1554. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Bautista, Justin Roland can be contacted via phone (702) 675-3400.

Contact Information

Primary practice address
2770 S Maryland Pkwy Suite 211 Las Vegas NV 89109-1554
Phone: (702) 675-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1760802342
LBN Legal business name Bautista, Justin Roland
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2014
Last updated Apr 22nd, 2014 - about 11 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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