Provider Demographics
NPI:1336306208
Name:JOYCE M BATTAGLIA DC PC
Entity Type:Organization
Organization Name:JOYCE M BATTAGLIA DC PC
Other - Org Name:LAKESIDE CHIROPRACTIC OF LAKE NORMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-892-8584
Mailing Address - Street 1:16405 NORTHCROSS DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5006
Mailing Address - Country:US
Mailing Address - Phone:704-892-8584
Mailing Address - Fax:
Practice Address - Street 1:16405 NORTHCROSS DR
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5091
Practice Address - Country:US
Practice Address - Phone:704-892-8584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2323111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0827NOtherBC/ BS
NC0827NOtherBC/ BS