Individual
SHARDAY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 ORKNEY CT, SOUTH BEND, IN 46614-3415
(574) 210-9755
Mailing address
1433 ORKNEY CT, SOUTH BEND, IN 46614-3415
(574) 210-9755
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
3430-53-6009
IN
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-199127
88-1991927
IN
01
—
881991927
IGO UGO WEGO
IN
Enumeration date
07/18/2022
Last updated
07/18/2022
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