Bautista, Myra

Bautista, Myra is an sole proprietor health care provider with primary practice located at 2801 Cherry St Apt 2 , Berkeley CA 94705-2303. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Bautista, Myra can be contacted via phone (510) 833-3589.

Contact Information

Primary practice address
2801 Cherry St Apt 2 Berkeley CA 94705-2303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 18676 California

Profile Details

NPI number 1053902262
LBN Legal business name Bautista, Myra
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2021
Last updated Jan 30th, 2021 - about 3 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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