Bates, Theresa
Bates, Theresa is an sole proprietor health care provider with primary practice located at 2185 Se Holland St , Port St Lucie FL 34952-4827. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Bates, Theresa can be contacted via phone (772) 807-0170.Contact Information
Primary practice address
2185 Se Holland St
Port St Lucie FL 34952-4827
Phone: (772) 807-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | Florida |
Profile Details
| NPI number | 1437770070 |
|---|---|
| LBN Legal business name | Bates, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2020 |
| Last updated | May 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437770070 | NPPES |
| Florida | MEDICAID | 681966496 |
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