Spates, Christa Yvette
Spates, Christa Yvette is an individual health care provider with primary practice located at 1320 W Northmoor Rd , Peoria IL 61614-3470. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Spates, Christa Yvette can be contacted via phone (309) 690-3368.Contact Information
Primary practice address
1320 W Northmoor Rd
Peoria IL 61614-3470
Phone: (309) 690-3368
Fax: (309) 691-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 01923199 | Illinois |
Profile Details
| NPI number | 1952472276 |
|---|---|
| LBN Legal business name | Spates, Christa Yvette |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 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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