Provider Demographics
NPI:1932294394
Name:BATES, FLOYD DOW JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:DOW
Last Name:BATES
Suffix:JR
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 1:621 EUCLID AVENUE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313
Mailing Address - Country:US
Mailing Address - Phone:515-282-8141
Mailing Address - Fax:515-282-8670
Practice Address - Street 1:621 EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313
Practice Address - Country:US
Practice Address - Phone:515-282-8141
Practice Address - Fax:515-282-8670
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2790111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA00387OtherWELLMARK BC-BS
IA0003871Medicaid
IA0003871Medicaid
IA00387OtherWELLMARK BC-BS