Bautista, Ma Theresa Concepcion

Bautista, Ma Theresa Concepcion is an individual health care provider with primary practice located at 501 Morris St 3 West Administration, Charleston WV 25301-1326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Bautista, Ma Theresa Concepcion can be contacted via phone (304) 388-3574.

Contact Information

Primary practice address
501 Morris St 3 West Administration Charleston WV 25301-1326
Phone: (304) 388-3574
Fax: (304) 388-6481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25853 West Virginia

Profile Details

NPI number 1780973792
LBN Legal business name Bautista, Ma Theresa Concepcion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Nov 24th, 2015 - about 10 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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