Provider Demographics
NPI:1134478480
Name:BATES CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:BATES CHIROPRACTIC, PC
Other - Org Name:BATES FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-389-9222
Mailing Address - Street 1:457 CARMEN DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6010
Mailing Address - Country:US
Mailing Address - Phone:805-389-9222
Mailing Address - Fax:805-389-9888
Practice Address - Street 1:457 CARMEN DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6010
Practice Address - Country:US
Practice Address - Phone:805-389-9222
Practice Address - Fax:805-389-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP866AOtherMEDICARE PTAN
1932338209OtherPRIVIOUS NPI
1932338209OtherPRIVIOUS NPI