Bates, Jennifer A

Bates, Jennifer A is an individual health care provider with primary practice located at 5580 Nordic Way , Ferndale WA 98248-9138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bates, Jennifer A can be contacted via phone (360) 384-1511.

Contact Information

Primary practice address
5580 Nordic Way Ferndale WA 98248-9138
Phone: (360) 384-1511
Fax: (360) 384-5758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00037647 Washington

Profile Details

NPI number 1417993148
LBN Legal business name Bates, Jennifer A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 2nd, 2009 - about 17 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 1417993148 NPPES
Washington Other 4582BA REGENCE BLUESHIELD
Washington Other 423898071 REGENCE BLUESHIELD
Washington MEDICAID 8252249 REGENCE BLUESHIELD
Washington Other 0188849 REGENCE BLUESHIELD
Washington Other P00181773 REGENCE BLUESHIELD
Washington Other 8938884 REGENCE BLUESHIELD

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