Provider Demographics
NPI:1780252437
Name:BATCHELOR, CHERYL MAXINE
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:MAXINE
Last Name:BATCHELOR
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 1:3141 OLD US HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-2417
Mailing Address - Country:US
Mailing Address - Phone:765-474-1095
Mailing Address - Fax:
Practice Address - Street 1:3141 OLD US HIGHWAY 231 S
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-2417
Practice Address - Country:US
Practice Address - Phone:765-474-1095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies