Bautista, Odezza Agustin

Bautista, Odezza Agustin is an sole proprietor health care provider with primary practice located at 50 Beech Dr , Norristown PA 19403-5421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bautista, Odezza Agustin can be contacted via phone (610) 279-6100.

Contact Information

Primary practice address
50 Beech Dr Norristown PA 19403-5421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD432919 Pennsylvania

Profile Details

NPI number 1346455763
LBN Legal business name Bautista, Odezza Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Mar 26th, 2010 - about 14 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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