MEDICARE: CHANNING BATIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	401330211211	OH

General Provider Information

NPI Number	:	1518395730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANNING BATIN

Provider Business Mailing Address
First Line	:	3630 WARRENSVILLE CENTER RD
Second Line	:	APT 3B
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5208
Country	:	US
Telephone Number	:	216-256-9392
Fax Number	:

Provider Business Practice Location Address
First Line	:	3630 WARRENSVILLE CENTER RD
Second Line	:	APT 3B
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5208
Country	:	US
Telephone Number	:	216-256-9392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2013
Last Update Date	:	10/25/2013

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Directions to “ CHANNING BATIN ” Practice Location

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