Bates, Mark C

Bates, Mark C is an individual health care provider with primary practice located at 2345 Chesterfield Ave Suite 302, Charleston WV 25304-1062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bates, Mark C can be contacted via phone (304) 720-2039.

Contact Information

Primary practice address
2345 Chesterfield Ave Suite 302 Charleston WV 25304-1062
Phone: (304) 720-2039
Fax: (304) 720-2041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X WV15164 West Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X WV15164 West Virginia

Profile Details

NPI number 1720076334
LBN Legal business name Bates, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720076334 NPPES
West Virginia MEDICAID 1801626000

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