Provider Demographics
NPI:1386147460
Name:BATOOSINGH, BENJAMIN (LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:
Last Name:BATOOSINGH
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CAMPUS BOX
Mailing Address - Street 2:100 CAMPUS DR
Mailing Address - City:ELON
Mailing Address - State:NC
Mailing Address - Zip Code:27244-9423
Mailing Address - Country:US
Mailing Address - Phone:336-278-6941
Mailing Address - Fax:
Practice Address - Street 1:2500 CAMPUS BOX
Practice Address - Street 2:100 CAMPUS DR
Practice Address - City:ELON
Practice Address - State:NC
Practice Address - Zip Code:27244-9423
Practice Address - Country:US
Practice Address - Phone:336-278-6941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-48232255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer