Bates, Jonathan James

Bates, Jonathan James is an individual health care provider with primary practice located at 10000 Zane Ave N , Brooklyn Park MN 55443-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bates, Jonathan James can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
10000 Zane Ave N Brooklyn Park MN 55443-1400
Fax: (763) 569-6200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41568 Minnesota

Profile Details

NPI number 1831151786
LBN Legal business name Bates, Jonathan James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 3rd, 2012 - about 13 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 1831151786 NPPES
Minnesota MEDICAID 546316500
Minnesota Other 0104111
Minnesota Other 68D53BA
Minnesota Other 1020259
Minnesota Other HP28999
Minnesota Other 6603833
Minnesota Other 7711010
Minnesota Other 850757
Minnesota Other 123620

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