Bate, Keith
Bate, Keith is an sole proprietor health care provider with primary practice located at 965 Oakland Rd Ste C , Lawrenceville GA 30044-3758. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bate, Keith can be contacted via phone (404) 480-9330.Contact Information
Primary practice address
965 Oakland Rd Ste C
Lawrenceville GA 30044-3758
Phone: (404) 480-9330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001801 | Georgia |
Profile Details
| NPI number | 1073271177 |
|---|---|
| LBN Legal business name | Bate, Keith |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2021 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073271177 | NPPES |
| Georgia | Other | AT001801 | ATHLETIC TRAINING STATE LICENSURE |
| Georgia | Other | 2000002679 | ATHLETIC TRAINING STATE LICENSURE |
| Georgia | Other | 1298 | ATHLETIC TRAINING STATE LICENSURE |
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