Bates, Cory Scott

Bates, Cory Scott is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 301, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bates, Cory Scott can be contacted via phone (208) 814-8700.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 301 Twin Falls ID 83301-5814
Phone: (208) 814-8700
Fax: (208) 933-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M11288 Idaho

Profile Details

NPI number 1629256573
LBN Legal business name Bates, Cory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2008
Last updated Dec 30th, 2014 - about 11 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 1629256573 NPPES
Idaho Other P00983737 MCRR
Idaho MEDICAID 1629256573 MCRR

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