Bates, Stephanie

Bates, Stephanie is an individual health care provider with primary practice located at 65 B Northstar Drive , Jackson TN 38305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bates, Stephanie can be contacted via phone (731) 661-9542.

Contact Information

Primary practice address
65 B Northstar Drive Jackson TN 38305
Phone: (731) 661-9542
Fax: (731) 661-9533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6670 Tennessee

Profile Details

NPI number 1912054495
LBN Legal business name Bates, Stephanie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
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 1912054495 NPPES
Tennessee Other 4053384 BCBS PROVIDER NUMBER

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