Provider Demographics
NPI:1770677999
Name:BATCHELOR CHIROPRACTIC CLINIC P.A
Entity Type:Organization
Organization Name:BATCHELOR CHIROPRACTIC CLINIC P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:BATCHELOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-264-0140
Mailing Address - Street 1:483 HIGHWAY 105 EXT
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4708
Mailing Address - Country:US
Mailing Address - Phone:828-264-0140
Mailing Address - Fax:828-262-1182
Practice Address - Street 1:483 HIGHWAY 105 EXT
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4708
Practice Address - Country:US
Practice Address - Phone:828-264-0140
Practice Address - Fax:828-262-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908258Medicaid
NC610408OtherACN
NC08258OtherBCBS
NC2454018Medicare ID - Type Unspecified
T64264Medicare UPIN