Provider Demographics
NPI:1760451066
Name:BATCHELDER, DAWN (PA-C)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BATCHELDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1746
Mailing Address - Country:US
Mailing Address - Phone:978-251-3159
Mailing Address - Fax:978-251-0636
Practice Address - Street 1:10 ADAMS ST
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1746
Practice Address - Country:US
Practice Address - Phone:978-251-3159
Practice Address - Fax:978-251-0636
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA665363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAR96292Medicare UPIN
MAAP0197Medicare ID - Type Unspecified