Provider Demographics
NPI:1982755542
Name:BATES CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BATES CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-339-0500
Mailing Address - Street 1:316 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELIDA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-1043
Mailing Address - Country:US
Mailing Address - Phone:419-339-0500
Mailing Address - Fax:419-339-0800
Practice Address - Street 1:316 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ELIDA
Practice Address - State:OH
Practice Address - Zip Code:45807-1043
Practice Address - Country:US
Practice Address - Phone:419-339-0500
Practice Address - Fax:419-339-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty