Provider Demographics
NPI:1679905541
Name:BATCHELOR, GORDON MEREDITH
Entity Type:Individual
Prefix:MR
First Name:GORDON
Middle Name:MEREDITH
Last Name:BATCHELOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLS HILLS
Mailing Address - State:OK
Mailing Address - Zip Code:73116-6225
Mailing Address - Country:US
Mailing Address - Phone:405-843-7871
Mailing Address - Fax:
Practice Address - Street 1:7009 TRENTON RD
Practice Address - Street 2:
Practice Address - City:NICHOLS HILLS
Practice Address - State:OK
Practice Address - Zip Code:73116-6225
Practice Address - Country:US
Practice Address - Phone:405-843-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker