Bautista, Manuel M
Bautista, Manuel M is an sole proprietor health care provider with primary practice located at 960 Windham Ct Suite 1, Boardman OH 44512-5087. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bautista, Manuel M can be contacted via phone (330) 726-3357.Contact Information
Primary practice address
960 Windham Ct Suite 1
Boardman OH 44512-5087
Phone: (330) 726-3357
Fax: (330) 726-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35089622 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 35089622 | Ohio |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35089622 | Ohio |
Profile Details
| NPI number | 1093793689 |
|---|---|
| LBN Legal business name | Bautista, Manuel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 1st, 2020 - 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 | 1093793689 | NPPES |
| Ohio | MEDICAID | 2475585 |
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