Bates, Kenneth Robert

Bates, Kenneth Robert is an individual health care provider with primary practice located at 900 11Th St Se , Bandon OR 97411-9114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Bates, Kenneth Robert can be contacted via phone (541) 347-2426.

Contact Information

Primary practice address
900 11Th St Se Bandon OR 97411-9114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD19858 Oregon

Profile Details

NPI number 1891705299
LBN Legal business name Bates, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1891705299 NPPES
Oregon MEDICAID 082941

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