Provider Demographics
NPI:1891967253
Name:DR JOSEPH BATTAGLIA DC PA
Entity Type:Organization
Organization Name:DR JOSEPH BATTAGLIA DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-957-1890
Mailing Address - Street 1:823 DUNLAWTON AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-4220
Mailing Address - Country:US
Mailing Address - Phone:386-957-1890
Mailing Address - Fax:386-492-8061
Practice Address - Street 1:823 DUNLAWTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4220
Practice Address - Country:US
Practice Address - Phone:386-957-1890
Practice Address - Fax:386-492-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty