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Contact Information

JANICE THERESE S BAUTISTA, DPM
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 401-456-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JANICE THERESE S BAUTISTA · (Female)

NPI # 1275217507
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/15/2023
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • NC License # 863
  • RI License # LPR00257
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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