Gates, Michelle C

Gates, Michelle C is an individual health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2640. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gates, Michelle C can be contacted via phone (816) 404-4375.

Contact Information

Primary practice address
2301 Holmes St Kansas City MO 64108-2640
Phone: (816) 404-4375
Fax: (816) 404-4337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2018000612 Missouri
Behavioral Health & Social Service Providers / Health 103TH0004X 071-009144 Illinois

Profile Details

NPI number 1255703971
LBN Legal business name Gates, Michelle C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Dec 4th, 2020 - about 6 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 1255703971 NPPES
Missouri MEDICAID 490050945

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