Bates, Shayne Ethan
Bates, Shayne Ethan is an individual health care provider with primary practice located at 3746 Vest Mill Rd , Winston Salem NC 27103-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bates, Shayne Ethan can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
3746 Vest Mill Rd
Winston Salem NC 27103-2912
Phone: (336) 716-2255
Fax: (336) 774-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2010-01033 | North Carolina |
Profile Details
| NPI number | 1912186990 |
|---|---|
| LBN Legal business name | Bates, Shayne Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Sep 28th, 2010 - about 16 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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