Bates, Richard Justin

Bates, Richard Justin is an individual health care provider with primary practice located at 2708 Highway 78 E , Jasper AL 35501-3430. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bates, Richard Justin can be contacted via phone (205) 387-2253.

Contact Information

Primary practice address
2708 Highway 78 E Jasper AL 35501-3430
Fax: (205) 387-2269
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-117933 Alabama

Profile Details

NPI number 1720477995
LBN Legal business name Bates, Richard Justin
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2015
Last updated Oct 15th, 2021 - about 5 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 1720477995 NPPES
Alabama MEDICAID 1720477995

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