Healthcare Provider Details

I. General information

NPI: 1225006141
Provider Name (Legal Business Name): NATALIE LYNN BATES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E MAIN ST
ELIDA OH
45807-1043
US

IV. Provider business mailing address

316 E MAIN ST
ELIDA OH
45807-1043
US

V. Phone/Fax

Practice location:
  • Phone: 419-339-0500
  • Fax: 419-339-0800
Mailing address:
  • Phone: 419-339-0500
  • Fax: 419-339-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3196
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: