Bates, Karl

Bates, Karl is an individual health care provider with primary practice located at 214 Breckenridge Ln 104, Louisville KY 40207-3868. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bates, Karl can be contacted via phone (502) 893-3388.

Contact Information

Primary practice address
214 Breckenridge Ln 104 Louisville KY 40207-3868
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X KY-1123 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003371A Indiana

Profile Details

NPI number 1720139140
LBN Legal business name Bates, Karl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Dec 12th, 2016 - about 9 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 1720139140 NPPES
Kentucky Other 000000344331 ANTHEM BLUE CROSS AND BLUE SHIELD
Kentucky MEDICAID 8200100900 ANTHEM BLUE CROSS AND BLUE SHIELD

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