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Contact Information

MELANIE BATES
1801 AMERICAN BLVD E
BLOOMINGTON, MN55425-1232
 Phone: 612-253-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for MELANIE BATES · (Female)

NPI # 1093585077
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2024
Last updated 01/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2489944
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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