Bates, Mary Elisabeth

Bates, Mary Elisabeth is an individual health care provider with primary practice located at 1628 S Mildred St #104, Tacoma WA 98465-1628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bates, Mary Elisabeth can be contacted via phone (253) 565-6777.

Contact Information

Primary practice address
1628 S Mildred St #104 Tacoma WA 98465-1628
Fax: (253) 565-8777
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004223 Washington

Profile Details

NPI number 1902874415
LBN Legal business name Bates, Mary Elisabeth
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 1st, 2020 - about 5 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 1902874415 NPPES
Washington MEDICAID 1021792
Washington Other 0255610

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