Bautista, Suzanne R.

Bautista, Suzanne R. is an sole proprietor health care provider with primary practice located at 5230 W 10Th St , Indianapolis IN 46224-6906. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter, Other Service Providers / Health Educator, Transportation Services / Non-emergency Medical Transport (VAN). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bautista, Suzanne R. can be contacted via phone (317) 240-2801.

Contact Information

Primary practice address
5230 W 10Th St Indianapolis IN 46224-6906
Phone: (317) 240-2801
Fax: (317) 240-2807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0973 Indiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Health Educator 174H00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1518203140
LBN Legal business name Bautista, Suzanne R.
Credentials NCACII, CADACII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2012
Last updated Dec 31st, 2012 - about 12 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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