Provider Demographics
NPI:1437237138
Name:BATKIN, RONALD LEONARD (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEONARD
Last Name:BATKIN
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 1:745 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-1324
Mailing Address - Country:US
Mailing Address - Phone:925-634-0707
Mailing Address - Fax:925-634-0708
Practice Address - Street 1:745 1ST ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1324
Practice Address - Country:US
Practice Address - Phone:925-634-0707
Practice Address - Fax:925-634-0708
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC015619111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0156190Medicare ID - Type Unspecified