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Contact Information

KRYSTALYN R BATES, DO
883 PADDOCK AVE
MERIDEN, CT06450-7044
 Phone: 203-634-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KRYSTALYN R BATES · (Female)

NPI # 1053972695
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2019
Last updated 05/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 73263
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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