Dale Edward Bates in Eastlake - Medical

Dale Edward Bates - NPI 1093871923

Dale Edward Bates is a Medical in Eastlake, Ohio. Dale Edward Bates practices all healthcare services and medical treatments related to Medical. The NPI Number for Dale Edward Bates is 1093871923. The last update date is 2007-07-08.

Dale Edward Bates's current location address is 36385 Sandy Knoll Dr, Eastlake, Ohio. You can contact this provider via phone number 4404795349 and fax number 4409530322. The mailing address for Dale Edward Bates is 36385 Sandy Knoll Dr, Eastlake, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Edward Bates
Address 36385 Sandy Knoll Dr, Eastlake, Ohio
Phone Number 4404795349
Fax Number 4409530322
Sole Proprietor N
Credentials MPAS PA-C

NPI Number Detail

NPI Number 1093871923
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 36385 Sandy Knoll Dr
City Eastlake
State Ohio (OH)
Post Code 440955407
Phone Number 4404795349
Fax Number 4409530322

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 50.000692
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50.000692 OH OHIO STATE LICENSE
1026099 OH NATIONAL NCCPA #

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FAQs about Dale Edward Bates

What is the unique identification code assigned to Dale Edward Bates by the Centers for Medicare & Medicaid Services?

The Dale Edward Bates has been issued the NPI (National Provider Identifier) 1093871923. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Dale Edward Bates located?

The Dale Edward Bates is located at 36385 Sandy Knoll Dr, Eastlake, OH 440955407.

What is Dale Edward Bates's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dale Edward Bates is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

When was the Dale Edward Bates's 1093871923 issued?

The Dale Edward Bates's 1093871923 was issued on 2006-12-28.

When was the information pertaining to Dale Edward Bates most recently updated or revised?

The details related to Dale Edward Bates, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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