Provider Demographics
NPI:1073607206
Name:BATCHELOR, COLIN BRADLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:BRADLEY
Last Name:BATCHELOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 HIGHWAY 105 EXT
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4708
Mailing Address - Country:US
Mailing Address - Phone:828-264-0140
Mailing Address - Fax:828-262-1182
Practice Address - Street 1:483 HIGHWAY 105 EXT
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4708
Practice Address - Country:US
Practice Address - Phone:828-264-0140
Practice Address - Fax:828-262-1182
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08258OtherBCBS
NC610408OtherACN
NC8908258Medicaid
NC08258OtherBCBS
NC610408OtherACN