Provider Demographics
NPI:1487634259
Name:BATES, RAYMOND L (DC)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:L
Last Name:BATES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2909
Mailing Address - Country:US
Mailing Address - Phone:615-472-1795
Mailing Address - Fax:615-472-1797
Practice Address - Street 1:3351 ASPEN GROVE DR
Practice Address - Street 2:SUITE 350
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2909
Practice Address - Country:US
Practice Address - Phone:615-472-1795
Practice Address - Fax:615-472-1797
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1407111N00000X
TN2338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor