Bates, Fred

Bates, Fred is an individual health care provider with primary practice located at 302 Rockingham Rd , Londonderry NH 03053-2103. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bates, Fred can be contacted via phone (603) 296-4087.

Contact Information

Primary practice address
302 Rockingham Rd Londonderry NH 03053-2103
Phone: (603) 296-4087
Fax: (603) 296-4089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 460 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 331 New Hampshire

Profile Details

NPI number 1174622419
LBN Legal business name Bates, Fred
Credentials M.ED., LCMHC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174622419 NPPES
New Hampshire Other 14Y000994NH01 BLUE CROSS BLUE SHIELD NH
New Hampshire MEDICAID 30420929 BLUE CROSS BLUE SHIELD NH

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