Bates, Susan M

Bates, Susan M is an individual health care provider with primary practice located at 6808 220Th St Sw Ste 100, Mountlake Terrace WA 98043-2122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bates, Susan M can be contacted via phone (425) 744-7420.

Contact Information

Primary practice address
6808 220Th St Sw Ste 100 Mountlake Terrace WA 98043-2122
Phone: (425) 744-7420
Fax: (425) 670-3378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00036313 Washington

Profile Details

NPI number 1043270515
LBN Legal business name Bates, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 24th, 2012 - about 12 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 1043270515 NPPES
Washington MEDICAID 8228959

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