Bates, Michelle Kathlyn

Bates, Michelle Kathlyn is an sole proprietor health care provider with primary practice located at 120 Capcom Ave Ste 101 , Wake Forest NC 27587-6537. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bates, Michelle Kathlyn can be contacted via phone (919) 792-3967.

Contact Information

Primary practice address
120 Capcom Ave Ste 101 Wake Forest NC 27587-6537
Phone: (919) 792-3967
Fax: (919) 761-5026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004357 North Carolina

Profile Details

NPI number 1063474377
LBN Legal business name Bates, Michelle Kathlyn
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Aug 11th, 2021 - about 3 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 1063474377 NPPES
North Carolina MEDICAID 6106594

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