Rosales, Vince Bautista
Rosales, Vince Bautista is an sole proprietor health care provider with primary practice located at 1242 Augusta West Pkwy , Augusta GA 30909-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rosales, Vince Bautista can be contacted via phone (706) 860-5000.Contact Information
Primary practice address
1242 Augusta West Pkwy
Augusta GA 30909-1854
Phone: (706) 860-5000
Fax: (706) 860-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 047256 | Georgia |
Profile Details
| NPI number | 1316905243 |
|---|---|
| LBN Legal business name | Rosales, Vince Bautista |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Mar 29th, 2019 - about 5 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 | 1316905243 | NPPES |
| Georgia | MEDICAID | 00830739B |
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