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Contact Information

LINA J BAUTISTA, MD
2800 PROVIDENCE DR
ANCHORAGE, AK99508-4623
 Phone: 907-269-7152
 Fax: 907-269-7251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LINA J BAUTISTA · (Female)

NPI # 1982625596
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 2785
  • AK Medicaid MD02182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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