Bates, Phillip Dale
Bates, Phillip Dale is an individual health care provider with primary practice located at 2006 Franklin St Se Ste 200 , Huntsville AL 35801-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bates, Phillip Dale can be contacted via phone (256) 539-0457.Contact Information
Primary practice address
2006 Franklin St Se Ste 200
Huntsville AL 35801-4537
Phone: (256) 539-0457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 57012 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35786 | Alabama |
Profile Details
| NPI number | 1033479233 |
|---|---|
| LBN Legal business name | Bates, Phillip Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Aug 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033479233 | NPPES |
| Alabama | MEDICAID | 215931 | |
| Alabama | MEDICAID | 242511 | |
| Alabama | MEDICAID | 215919 | |
| Alabama | MEDICAID | 216279 | |
| Alabama | MEDICAID | 214554 | |
| Alabama | MEDICAID | 216553 | |
| Alabama | MEDICAID | 242938 | |
| Alabama | MEDICAID | 216152 | |
| Alabama | MEDICAID | 243047 | |
| Alabama | MEDICAID | 239940 | |
| Alabama | MEDICAID | 242772 | |
| Alabama | MEDICAID | 215913 | |
| Alabama | MEDICAID | 216277 | |
| Alabama | MEDICAID | 217392 | |
| Alabama | Other | 14192005 | |
| Alabama | MEDICAID | 244034 | |
| Alabama | MEDICAID | 216301 |
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