Bates, David M

Bates, David M is an individual health care provider with primary practice located at 15182 N 75Th Ave Ste 160, Peoria AZ 85381-4722. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bates, David M can be contacted via phone (623) 243-5737.

Contact Information

Primary practice address
15182 N 75Th Ave Ste 160 Peoria AZ 85381-4722
Phone: (623) 243-5737
Fax: (623) 399-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0592 Arizona

Profile Details

NPI number 1336135177
LBN Legal business name Bates, David M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 4th, 2018 - about 8 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 1336135177 NPPES
Arizona MEDICAID 860371

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