Provider Demographics
NPI:1437124112
Name:BATTEN, WILLIAM HENRICHS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRICHS
Last Name:BATTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E MAIN STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130
Mailing Address - Country:US
Mailing Address - Phone:740-653-3441
Mailing Address - Fax:740-653-7466
Practice Address - Street 1:1500 E MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-653-3441
Practice Address - Fax:740-653-7466
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35054796B208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0683916Medicaid
OH0609831Medicare ID - Type Unspecified
OH0683916Medicaid