Provider Demographics
NPI:1821264375
Name:BATTAGLIA LLC
Entity Type:Organization
Organization Name:BATTAGLIA LLC
Other - Org Name:ROUND VALLEY FAMILY CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-236-6011
Mailing Address - Street 1:81 MAIN ST
Mailing Address - Street 2:PO BOX 312
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-2132
Mailing Address - Country:US
Mailing Address - Phone:908-236-6011
Mailing Address - Fax:908-236-6012
Practice Address - Street 1:81 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2132
Practice Address - Country:US
Practice Address - Phone:908-236-6011
Practice Address - Fax:908-236-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00592700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ081548Medicare PIN