Pates, Jason Andrew

Pates, Jason Andrew is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste 306 , Coeur D Alene ID 83814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Pates, Jason Andrew can be contacted via phone (208) 625-4970.

Contact Information

Primary practice address
980 W Ironwood Dr Ste 306 Coeur D Alene ID 83814
Phone: (208) 625-4970
Fax: (208) 625-4991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 60305 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60080627 Washington
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 60305 Minnesota

Profile Details

NPI number 1376742346
LBN Legal business name Pates, Jason Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Apr 22nd, 2024 - about 7 months 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 1376742346 NPPES
Washington MEDICAID 2010237

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