Bautista, Warlito Aviles
Bautista, Warlito Aviles is an sole proprietor health care provider with primary practice located at 1311 Spring St , Jeffersonville IN 47130-3705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bautista, Warlito Aviles can be contacted via phone (812) 282-3032.Contact Information
Primary practice address
1311 Spring St
Jeffersonville IN 47130-3705
Phone: (812) 282-3032
Fax: (812) 282-3059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01026833A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01026833A | Indiana |
Profile Details
| NPI number | 1750374237 |
|---|---|
| LBN Legal business name | Bautista, Warlito Aviles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 4th, 2008 - about 18 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 | 1750374237 | NPPES |
| Indiana | MEDICAID | 100075350A |
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