Healthcare Provider Details

I. General information

NPI: 1962945014
Provider Name (Legal Business Name): NICHOLAS JOHN BATLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AUBMC DEPARTMENT OF EMERGENCY MEDICINE HAMRA
BEIRUT GREATER BEIRUT
00000
LB

IV. Provider business mailing address

AUBMC DEPARTMENTY OF EMERGENCY MEDICINE HAMRA
BEIRUT GREATER BEIRUT
00000
LB

V. Phone/Fax

Practice location:
  • Phone: 961-320-7100
  • Fax:
Mailing address:
  • Phone: 961-320-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number22457
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22457
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: