Individual
MR. JOEL DOUGLAS BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006581A
IN
207Q00000X
Family Medicine Physician
5101013835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285738435
—
MI
05
—
300057704
—
IN
05
—
4750822-11
—
MI
Enumeration date
09/09/2006
Last updated
02/12/2024
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