Bauza-Feliciano, Pedro A

Bauza-Feliciano, Pedro A is an individual health care provider with primary practice located at 2000 Brookside Dr , Kingsport TN 37660-4627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bauza-Feliciano, Pedro A can be contacted via phone (423) 857-7000.

Contact Information

Primary practice address
2000 Brookside Dr Kingsport TN 37660-4627
Phone: (423) 857-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301104729 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD447631 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101280394 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 69224 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35133831 Ohio

Profile Details

NPI number 1104135128
LBN Legal business name Bauza-Feliciano, Pedro A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2010
Last updated May 7th, 2024 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104135128 NPPES
Pennsylvania Other 232359401 MLHC TAX ID

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