Bautista, Lina Judith
Bautista, Lina Judith is an individual health care provider with primary practice located at 2800 Providence Dr , Anchorage AK 99508-4623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bautista, Lina Judith can be contacted via phone (907) 269-7152.Contact Information
Primary practice address
2800 Providence Dr
Anchorage AK 99508-4623
Phone: (907) 269-7152
Fax: (907) 269-7251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2785 | Alaska |
Profile Details
NPI number | 1982625596 |
---|---|
LBN Legal business name | Bautista, Lina Judith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982625596 | NPPES |
Alaska | MEDICAID | MD02182 |
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