Batley, Jerry O
Batley, Jerry O is an individual health care provider with primary practice located at 34 Mountain Blvd Ste 203 , Warren NJ 07059-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Batley, Jerry O can be contacted via phone (668) 607-2308.Contact Information
Primary practice address
34 Mountain Blvd Ste 203
Warren NJ 07059-2640
Phone: (668) 607-2308
Fax: (248) 855-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101231512 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2015-0624 | New Mexico |
Profile Details
| NPI number | 1366496267 |
|---|---|
| LBN Legal business name | Batley, Jerry O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Aug 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366496267 | NPPES |
| New Mexico | MEDICAID | 33883025 | |
| New Mexico | MEDICAID | 007313004 |
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