Bates, Jerry Alan
Bates, Jerry Alan is an sole proprietor health care provider with primary practice located at 714 Calm Crest Dr , Rockwall TX 75087-6454. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bates, Jerry Alan can be contacted via phone (972) 974-2952.Contact Information
Primary practice address
714 Calm Crest Dr
Rockwall TX 75087-6454
Phone: (972) 974-2952
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01063076A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 01063076A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01063076A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 300857 | Louisiana |
Profile Details
| NPI number | 1710034095 |
|---|---|
| LBN Legal business name | Bates, Jerry Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jan 27th, 2016 - about 10 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 | 1710034095 | NPPES |
| Indiana | Other | 01063076A | PHYSICIAN LICENSE |
| Indiana | Other | 300857 | PHYSICIAN LICENSE |
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