Provider Demographics
NPI:1487849204
Name:BATANJSKI, ROSEMARY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:BATANJSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30061 SCHOENHERR RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3133
Mailing Address - Country:US
Mailing Address - Phone:586-576-0701
Mailing Address - Fax:586-576-0703
Practice Address - Street 1:30061 SCHOENHERR RD
Practice Address - Street 2:SUITE B
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3133
Practice Address - Country:US
Practice Address - Phone:586-576-0701
Practice Address - Fax:586-576-0703
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRB008461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU89474Medicare UPIN