Bates, Kerri Michelle

Bates, Kerri Michelle is an sole proprietor health care provider with primary practice located at 617 3Rd St , Graham TX 76450-3101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bates, Kerri Michelle can be contacted via phone (940) 549-2259.

Contact Information

Primary practice address
617 3Rd St Graham TX 76450-3101
Phone: (940) 549-2259
Fax: (940) 691-0062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32234 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 955 Oklahoma

Profile Details

NPI number 1073571402
LBN Legal business name Bates, Kerri Michelle
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1073571402 NPPES
Texas Other 87204A BLUE CROSS BLUE SHIELD
Texas Other 274010 BLUE CROSS BLUE SHIELD
Texas Other 9339657 BLUE CROSS BLUE SHIELD

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