Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1019 | OH |
NPI | 1174520001 |
---|---|
Provider Name | Dr. Anthony R Battaglia |
First Address | Fairlawn, OH 44333-3024 |
Second Address | Fairlawn, OH 44333-3024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0926949 | (05) | OH |