Provider Demographics
NPI:1962945014
Name:BATLEY, NICHOLAS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOHN
Last Name:BATLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AUBMC DEPARTMENTY OF EMERGENCY MEDICINE
Mailing Address - Street 2:HAMRA
Mailing Address - City:BEIRUT
Mailing Address - State:GREATER BEIRUT
Mailing Address - Zip Code:00000
Mailing Address - Country:LB
Mailing Address - Phone:961-320-7100
Mailing Address - Fax:
Practice Address - Street 1:AUBMC DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - Street 2:HAMRA
Practice Address - City:BEIRUT
Practice Address - State:GREATER BEIRUT
Practice Address - Zip Code:00000
Practice Address - Country:LB
Practice Address - Phone:961-320-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22457207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine