Provider Demographics
NPI:1821181074
Name:BATTISTI, JOHN J (PHD RPH BCPP)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:BATTISTI
Suffix:
Gender:M
Credentials:PHD RPH BCPP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1350 JOSEPHINE ST
Mailing Address - Street 2:101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206
Mailing Address - Country:US
Mailing Address - Phone:303-246-9584
Mailing Address - Fax:303-393-2860
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:119 VA MEDICAL CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-393-2860
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH03120442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist