Gates, Bethany Jean

Gates, Bethany Jean is an individual health care provider with primary practice located at 6 E Chestnut St Ste C-3 , Augusta ME 04330-5717. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Gates, Bethany Jean can be contacted via phone (207) 626-1594.

Contact Information

Primary practice address
6 E Chestnut St Ste C-3 Augusta ME 04330-5717
Phone: (207) 626-1594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001499 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1330 Maine

Profile Details

NPI number 1457347148
LBN Legal business name Gates, Bethany Jean
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 1st, 2013 - about 13 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 1457347148 NPPES
Virginia MEDICAID 010005175

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