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
Phone: (502) 893-3388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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