Bates, Sandra L

Bates, Sandra L is an individual health care provider with primary practice located at 10332 Shaver Rd , Portage MI 49024-6744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bates, Sandra L can be contacted via phone (269) 993-0112.

Contact Information

Primary practice address
10332 Shaver Rd Portage MI 49024-6744
Phone: (269) 993-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801100121 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801115031 Michigan

Profile Details

NPI number 1063966331
LBN Legal business name Bates, Sandra L
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Oct 11th, 2022 - about 4 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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