Banaszak, John F

Banaszak, John F is an sole proprietor health care provider with primary practice located at 314 N 9Th St , Mount Vernon WA 98273-3327. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Banaszak, John F can be contacted via phone (360) 428-6100.

Contact Information

Primary practice address
314 N 9Th St Mount Vernon WA 98273-3327
Phone: (360) 428-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1962576736
LBN Legal business name Banaszak, John F
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 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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