Bates, Brenda J

Bates, Brenda J is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bates, Brenda J can be contacted via phone (386) 155-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 155-3016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 14857 Florida

Profile Details

NPI number 1013654912
LBN Legal business name Bates, Brenda J
Credentials CRDH
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2022
Last updated May 13th, 2022 - about 4 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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