Provider Demographics
NPI:1477137099
Name:BATSON, JUDY SHANAE
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:SHANAE
Last Name:BATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 ATSON LN APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-1393
Mailing Address - Country:US
Mailing Address - Phone:513-237-6043
Mailing Address - Fax:
Practice Address - Street 1:1654 ATSON LN APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1393
Practice Address - Country:US
Practice Address - Phone:513-237-6043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)