Burton T Bates
Individual provider Active NPI Counselor · Willimantic, CT
NPI 1346078748 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1346078748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1310 Main St
Willimantic, CT 06226-1910 - Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- NPI assigned
- Jul 25, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1310 Main St
Willimantic, CT 06226-1910
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 697-3351
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.