Basic Information
| Provider Information | |||||||||
| NPI: | 1518934363 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATEMAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | W. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 122 GRANT STREET | ||||||||
| Address2: | |||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491202281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2696870808 | ||||||||
| FaxNumber: | 2696870811 | ||||||||
| Practice Location | |||||||||
| Address1: | 60 NORTH ST. JOSEPH AVE. | ||||||||
| Address2: | STE. B | ||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491202282 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2696870806 | ||||||||
| FaxNumber: | 2696870811 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2006 | ||||||||
| LastUpdateDate: | 11/03/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 4301035099 | MI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.