Most Relevant Information
Provider Data
| NPI Number: | 1003302373 |
| Provider Name: | STEPHEN PAUL BATES LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN-113360 |
Most Important Dates
| Enumeration Date: | 07/10/2018 |
| Last Updated: | 07/10/2018 |
Provider Practice Location
14572 US RTE 23
WAVERLY
OH
45690
Practice Location Phone/Fax
| Phone: | 7409476727 |
| Fax: |
Provider Mailing Location
PO BOX 226
WAVERLY
OH
456900226
Provider Mailing Phone/Fax
| Phone: | 7409476727 |
| Fax: |