Bates, Ina Jane

Bates, Ina Jane is an individual health care provider with primary practice located at 181 N Kentucky Ave , West Plains MO 65775-2089. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bates, Ina Jane can be contacted via phone (417) 257-5911.

Contact Information

Primary practice address
181 N Kentucky Ave West Plains MO 65775-2089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW000140 Missouri

Profile Details

NPI number 1578765467
LBN Legal business name Bates, Ina Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2007
Last updated Jul 8th, 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 1578765467 NPPES
Missouri MEDICAID 1578765467

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