Batty, Paul R

Batty, Paul R is an individual health care provider with primary practice located at 1340 Charles St Ste 100 , Rockford IL 61104-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Batty, Paul R can be contacted via phone (779) 696-8700.

Contact Information

Primary practice address
1340 Charles St Ste 100 Rockford IL 61104-2200
Phone: (779) 696-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036082625 Illinois

Profile Details

NPI number 1619972643
LBN Legal business name Batty, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 11th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619972643 NPPES
Illinois Other CA4748 MEDICARE RAILROAD GROUP PTAN
Illinois MEDICAID 036082625 MEDICARE RAILROAD GROUP PTAN
Illinois Other F400165384 MEDICARE RAILROAD GROUP PTAN
Illinois Other 206147 MEDICARE RAILROAD GROUP PTAN
Illinois Other P01398548 MEDICARE RAILROAD GROUP PTAN

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