Healthcare Provider Details

I. General information

NPI: 1639314040
Provider Name (Legal Business Name): ROD E. BATIE, D.O., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 E HIGH ST
SPRINGFIELD OH
45505-5210
US

IV. Provider business mailing address

1835 E HIGH ST
SPRINGFIELD OH
45505-5210
US

V. Phone/Fax

Practice location:
  • Phone: 937-323-9242
  • Fax: 937-322-5252
Mailing address:
  • Phone: 937-323-9242
  • Fax: 937-322-5252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34005256
License Number StateOH

VIII. Authorized Official

Name: DR. ROD E BATIE
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 937-323-9242