Provider Demographics
NPI:1063576866
Name:BATTAGLINO, STEVEN ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANTHONY
Last Name:BATTAGLINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 PETALUMA BOULEVARD N.
Mailing Address - Street 2:SUITE B.
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952
Mailing Address - Country:US
Mailing Address - Phone:707-559-4070
Mailing Address - Fax:707-559-4071
Practice Address - Street 1:620 PETALUMA BOULEVARD N.
Practice Address - Street 2:SUITE B
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952
Practice Address - Country:US
Practice Address - Phone:707-559-4070
Practice Address - Fax:707-559-4071
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29118111N00000X
CA29118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor