Bates, Alicia Augustine

Bates, Alicia Augustine is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bates, Alicia Augustine can be contacted via phone (225) 761-5586.

Contact Information

Primary practice address
9001 Summa Ave Baton Rouge LA 70809-3726
Phone: (225) 761-5586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R885839 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP08060 Louisiana

Profile Details

NPI number 1699013607
LBN Legal business name Bates, Alicia Augustine
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2013
Last updated Apr 14th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699013607 NPPES
Louisiana MEDICAID 2379585
Louisiana MEDICAID 01727036

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