Provider Demographics
NPI:1083802698
Name:BATTEN-LANGE, ANNA M (BN, DC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:BATTEN-LANGE
Suffix:
Gender:F
Credentials:BN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3640
Mailing Address - Country:US
Mailing Address - Phone:727-934-6500
Mailing Address - Fax:727-945-8374
Practice Address - Street 1:2887 CRAWFORDVILLE HWY STE 1
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-2381
Practice Address - Country:US
Practice Address - Phone:850-926-1227
Practice Address - Fax:850-926-6550
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53999OtherBLUE CROSS BLUE SHIELD
FL53999OtherBLUE CROSS BLUE SHIELD
FLU80236Medicare UPIN