Michelle Martha Bautista in Chicago - Clinical
Michelle Martha Bautista - NPI 1346441250
Michelle Martha Bautista is a Clinical in Chicago, Illinois. Michelle Martha Bautista practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Martha Bautista is 1346441250. The last update date is 2021-09-28.
Michelle Martha Bautista's current location address is Po Box 12454, Chicago, Illinois. You can contact this provider via phone number 7734803412. The mailing address for Michelle Martha Bautista is Po Box 12454, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Martha Bautista |
|---|---|
| Address | Po Box 12454, Chicago, Illinois |
| Phone Number | 7734803412 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346441250 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
| Address | Po Box 12454 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606120454 |
| Phone Number | 7734803412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.011952 |
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What is the unique 10-digit identification code issued to Michelle Martha Bautista by the Centers for Medicare & Medicaid Services?
The Michelle Martha Bautista has been assigned the NPI (National Provider Identifier) 1346441250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Michelle Martha Bautista?
The Michelle Martha Bautista is situated at Po Box 12454, in the city of Chicago, state of IL, with the zip code 606120454.
What is the area of specialization for Michelle Martha Bautista, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michelle Martha Bautista is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Michelle Martha Bautista receive the assignment of its 1346441250 from the Centers for Medicare & Medicaid Services?
The Michelle Martha Bautista was issued its 1346441250 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details pertaining to Michelle Martha Bautista last refreshed?
The information related to the Michelle Martha Bautista, including its address, specialty, and other relevant details, was last updated on 2021-09-28.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC