Provider Demographics
NPI:1255572236
Name:BATCHKOFF, IVAN JOSEPH (RN)
Entity type:Individual
Prefix:MR
First Name:IVAN
Middle Name:JOSEPH
Last Name:BATCHKOFF
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:IVAN
Other - Middle Name:JOSEPH
Other - Last Name:BATCHKOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:8607 MORNINGLIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-3104
Mailing Address - Country:US
Mailing Address - Phone:951-653-2900
Mailing Address - Fax:
Practice Address - Street 1:650 N STATE ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-2960
Practice Address - Country:US
Practice Address - Phone:951-791-3382
Practice Address - Fax:951-791-3386
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN349190163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse