Banas, Jon Michael

Banas, Jon Michael is an individual health care provider with primary practice located at 3680 Broadway , Fort Myers FL 33901-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Banas, Jon Michael can be contacted via phone (239) 936-2316.

Contact Information

Primary practice address
3680 Broadway Fort Myers FL 33901-8005
Phone: (239) 936-2316
Fax: (239) 931-6365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036100431 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS10560 Florida

Profile Details

NPI number 1598750747
LBN Legal business name Banas, Jon Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 10th, 2011 - about 13 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 1598750747 NPPES
Florida Other P00801888 RAILROAD MEDICARE
Florida MEDICAID 001495200 RAILROAD MEDICARE
Florida MEDICAID 036100431 RAILROAD MEDICARE

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