Provider Demographics
NPI:1679202204
Name:BATTY HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:BATTY HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BATTY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:870-584-8873
Mailing Address - Street 1:134 KISER RD
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-8606
Mailing Address - Country:US
Mailing Address - Phone:870-584-8873
Mailing Address - Fax:
Practice Address - Street 1:134 KISER RD
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-8606
Practice Address - Country:US
Practice Address - Phone:870-584-8873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR219375758Medicaid