Bates, Jody Lyn

Bates, Jody Lyn is an sole proprietor health care provider with primary practice located at 31 S Stanfield Rd Ste 301, Troy OH 45373-2374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bates, Jody Lyn can be contacted via phone (937) 339-1518.

Contact Information

Primary practice address
31 S Stanfield Rd Ste 301 Troy OH 45373-2374
Fax: (937) 339-1538
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 15552-NP Ohio

Profile Details

NPI number 1538581251
LBN Legal business name Bates, Jody Lyn
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2014
Last updated Sep 4th, 2014 - about 10 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 1538581251 NPPES
Ohio MEDICAID 0099484

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