Bautista, Susan R
Bautista, Susan R is an individual health care provider with primary practice located at 6767 Old Madison Pike Suite 400 Hga Home Health, Huntsville AL 35801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bautista, Susan R can be contacted via phone (256) 922-6650.Contact Information
Primary practice address
6767 Old Madison Pike Suite 400 Hga Home Health
Huntsville AL 35801
Phone: (256) 922-6650
Fax: (256) 922-6651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTH3746 | Alabama |
Profile Details
| NPI number | 1477529196 |
|---|---|
| LBN Legal business name | Bautista, Susan R |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477529196 | NPPES |
| Alabama | Other | 51519592 | BLUE CROSS BLUE SHIELD |
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