Provider Demographics
NPI:1245885235
Name:BATCHELOR, ELEANOR ROSILEE
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:ROSILEE
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:FL
Mailing Address - Zip Code:32463-0212
Mailing Address - Country:US
Mailing Address - Phone:850-814-2091
Mailing Address - Fax:
Practice Address - Street 1:3507 BATCHELOR WAY
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-3878
Practice Address - Country:US
Practice Address - Phone:850-814-2091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747A0650X
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide