Kates, Marc A

Kates, Marc A is an individual health care provider with primary practice located at 13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kates, Marc A can be contacted via phone (623) 876-8816.

Contact Information

Primary practice address
13460 N 94Th Dr Ste J1 Peoria AZ 85381-4246
Fax: (623) 298-0168
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2770 Arizona

Profile Details

NPI number 1326044025
LBN Legal business name Kates, Marc A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 15th, 2019 - about 5 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 1326044025 NPPES
Arizona MEDICAID 337479
Arizona Other P01176746

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