Bates, Dale Edward
Bates, Dale Edward is an individual health care provider with primary practice located at 1001 Lakeside Ave E Suite 1000, Cleveland OH 44114-1158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bates, Dale Edward can be contacted via phone (440) 479-5349.Contact Information
Primary practice address
1001 Lakeside Ave E Suite 1000
Cleveland OH 44114-1158
Phone: (440) 479-5349
Fax: (216) 420-9354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50.000692 | Ohio |
Profile Details
| NPI number | 1093871923 |
|---|---|
| LBN Legal business name | Bates, Dale Edward |
| Credentials | MPAS PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093871923 | NPPES |
| Ohio | Other | 50.000692 | OHIO STATE LICENSE |
| Ohio | Other | 1026099 | OHIO STATE LICENSE |
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