Bates, Brian Ezra
Bates, Brian Ezra is an sole proprietor health care provider with primary practice located at 2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bates, Brian Ezra can be contacted via phone (706) 861-9390.Contact Information
Primary practice address
2007 Old Lafayette Rd
Fort Oglethorpe GA 30742-3510
Phone: (706) 861-9390
Fax: (706) 866-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 895 | Georgia |
Profile Details
| NPI number | 1053800813 |
|---|---|
| LBN Legal business name | Bates, Brian Ezra |
| Credentials | CADC-I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2018 |
| Last updated | May 8th, 2018 - about 7 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.
Popular Providers
-
Mcumber, Matthew Jon
3091 Battlefield Pkwy , Fort Oglethorpe GA 30742-4003 -
Conrad, Christopher M
2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510 -
Burris, David Allen
1875 Fant Dr , Fort Oglethorpe GA 30742-3307 -
Barron, Amy Jo
1875 Fant Dr , Fort Oglethorpe GA 30742-3307 -
Bervoets, Carly Marie
2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510 -
Mccahill, Kelley Ann
1875 Fant Dr , Ft Oglethorpe GA 30742-3307 -
Bates, Misty Dawn
2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510 -
Childers, Starlan James
2007 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510