Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 18599 | WV |
NPI | 1003866641 |
---|---|
Provider Name | Dr. John A Battin |
First Address | Morgantown, WV 26505-1238 |
Second Address | Morgantown, WV 26505-1241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001719826 | BLUE CROSS BLUE SHIELD (01) | WV |
0222300000 | (05) | WV |
1054796003 | CIGNA (01) | WV |
273166 | MAMSI (01) | WV |
5714731 | AETNA (01) | WV |
G93288 | (02) | WV |