Ricky Desi Bautista in Kaneohe - Chiropractor
Ricky Desi Bautista - NPI 1962696658
Ricky Desi Bautista is a Chiropractor in Kaneohe, Hawaii. Ricky Desi Bautista practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ricky Desi Bautista is 1962696658. The last update date is 2017-02-21.
Ricky Desi Bautista's current location address is 45-270 William Henry Rd, Kaneohe, Hawaii. You can contact this provider via phone number 8082356677 and fax number 8082360844. The mailing address for Ricky Desi Bautista is 45-270 William Henry Rd, Kaneohe, Hawaii. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ricky Desi Bautista |
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Address | 45-270 William Henry Rd, Kaneohe, Hawaii |
Phone Number | 8082356677 |
Fax Number | 8082360844 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1962696658 |
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Provider Enumeration Date | 2007-09-05 |
Last Updated Date | 2017-02-21 |
Provider Mailing Address Detail
Address | 45-270 William Henry Rd |
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City | Kaneohe |
State | Hawaii (HI) |
Post Code | 967445808 |
Phone Number | 8082356677 |
Fax Number | 8082360844 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC420 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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F0098993 | HI | HMSA |
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What is the unique identification code assigned to Ricky Desi Bautista by the Centers for Medicare & Medicaid Services?
The Ricky Desi Bautista has been issued the NPI (National Provider Identifier) 1962696658. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ricky Desi Bautista's physical address?
The Ricky Desi Bautista is physically located at 45-270 William Henry Rd, in the city of Kaneohe, HI, with the postal code 967445808.
What is the area of specialization for Ricky Desi Bautista, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ricky Desi Bautista is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Ricky Desi Bautista receive its 1962696658 assignment from the Centers for Medicare & Medicaid Services?
The Ricky Desi Bautista was assigned its 1962696658 on 2007-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ricky Desi Bautista, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ricky Desi Bautista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-21.