Gates, Lyle Edgar

Gates, Lyle Edgar is an individual health care provider with primary practice located at 12606 E Mission Ave , Spokane Valley WA 99216-3421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gates, Lyle Edgar can be contacted via phone (509) 473-5723.

Contact Information

Primary practice address
12606 E Mission Ave Spokane Valley WA 99216-3421
Phone: (509) 473-5723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30001278 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 09907743CRNA Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-488 Idaho

Profile Details

NPI number 1154329837
LBN Legal business name Gates, Lyle Edgar
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 24th, 2009 - about 15 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 1154329837 NPPES
Washington MEDICAID 9612367
Washington MEDICAID 9607771
Washington Other 30129

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