Bates, Brian Elbert

Bates, Brian Elbert is an individual health care provider with primary practice located at 42 N Saint Joseph Ave Suite 101, Niles MI 49120-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bates, Brian Elbert can be contacted via phone (269) 684-6696.

Contact Information

Primary practice address
42 N Saint Joseph Ave Suite 101 Niles MI 49120-2203
Phone: (269) 684-6696
Fax: (269) 684-5286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M001208 Guam
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301407413 Michigan

Profile Details

NPI number 1558317446
LBN Legal business name Bates, Brian Elbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 5th, 2014 - about 12 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 1558317446 NPPES
Michigan MEDICAID 1558317446

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