Bates, Forrest T.

Bates, Forrest T. is an individual health care provider with primary practice located at 400 Ceape Ave Ste 13, Oshkosh WI 54901-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bates, Forrest T. can be contacted via phone (920) 236-3251.

Contact Information

Primary practice address
400 Ceape Ave Ste 13 Oshkosh WI 54901-5227
Phone: (920) 236-3251
Fax: (920) 236-3255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25197 Wisconsin

Profile Details

NPI number 1548246523
LBN Legal business name Bates, Forrest T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1548246523 NPPES
Wisconsin MEDICAID 31789500

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