Banas, Jeff
Banas, Jeff is an individual health care provider with primary practice located at 3805B Spring St Ste 140 , Mount Pleasant WI 53405-1642. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Banas, Jeff can be contacted via phone (262) 637-0500.Contact Information
Primary practice address
3805B Spring St Ste 140
Mount Pleasant WI 53405-1642
Phone: (262) 637-0500
Fax: (262) 635-8027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3424 | Wisconsin |
Profile Details
| NPI number | 1619328606 |
|---|---|
| LBN Legal business name | Banas, Jeff |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jan 9th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619328606 | NPPES |
| Wisconsin | MEDICAID | 100074192 |
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