Tates, Victoria
Tates, Victoria is an individual health care provider with primary practice located at 2901 Evangeline St , Monroe LA 71201-3723. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Tates, Victoria can be contacted via phone (318) 325-9503.Contact Information
Primary practice address
2901 Evangeline St
Monroe LA 71201-3723
Phone: (318) 325-9503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1659097624 |
|---|---|
| LBN Legal business name | Tates, Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2022 |
| Last updated | Oct 12th, 2022 - about 3 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 | 1659097624 | NPPES |
| Louisiana | MEDICAID | 011449704 |
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