Bautista, Primo V

Bautista, Primo V is an individual health care provider with primary practice located at 600 Jefferson Ave , Jeannette PA 15644-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bautista, Primo V can be contacted via phone (724) 527-3551.

Contact Information

Primary practice address
600 Jefferson Ave Jeannette PA 15644-2505
Phone: (724) 527-3551
Fax: (724) 527-6519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD019326E Pennsylvania

Profile Details

NPI number 1154316081
LBN Legal business name Bautista, Primo V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154316081 NPPES
Pennsylvania MEDICAID 0009369890005
Pennsylvania Other 36621

Popular Providers