Basic Information
| Provider Information | |||||||||
| NPI: | 1487626925 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATCHELOR | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | JAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26 E PARK DR | ||||||||
| Address2: | |||||||||
| City: | ATHENS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457015003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405924229 | ||||||||
| FaxNumber: | 7405924010 | ||||||||
| Practice Location | |||||||||
| Address1: | 805 FARSON ST STE 115 | ||||||||
| Address2: | |||||||||
| City: | BELPRE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457141000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404233201 | ||||||||
| FaxNumber: | 7404233211 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2006 | ||||||||
| LastUpdateDate: | 08/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 35069916B | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0330896 | 05 | OH | MEDICAID |