Gates, Elizabeth R

Gates, Elizabeth R is an sole proprietor health care provider with primary practice located at 631 W Willow Ave , Visalia CA 93291-6101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gates, Elizabeth R can be contacted via phone (559) 738-0800.

Contact Information

Primary practice address
631 W Willow Ave Visalia CA 93291-6101
Phone: (559) 738-0800
Fax: (559) 738-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14743 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015598-1 New York

Profile Details

NPI number 1083830780
LBN Legal business name Gates, Elizabeth R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 9th, 2007 - about 19 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 1083830780 NPPES
California Other 49550 FRESNO COUNTY VENDOR ID
California MEDICAID PSY147430 FRESNO COUNTY VENDOR ID
California Other 518693 FRESNO COUNTY VENDOR ID

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