Banas, Emerita Tabor

Banas, Emerita Tabor is an individual health care provider with primary practice located at 11800 East 12-Mile Rd , Warren MI 48093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Banas, Emerita Tabor can be contacted via phone (586) 573-5260.

Contact Information

Primary practice address
11800 East 12-Mile Rd Warren MI 48093
Phone: (586) 573-5260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704086757 Michigan

Profile Details

NPI number 1205992476
LBN Legal business name Banas, Emerita Tabor
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205992476 NPPES
Michigan MEDICAID 1597477

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