Banawan, Sammy F.

Banawan, Sammy F. is an sole proprietor health care provider with primary practice located at 1411 Broad St , Durham NC 27705-3534. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Banawan, Sammy F. can be contacted via phone (919) 308-8675.

Contact Information

Primary practice address
1411 Broad St Durham NC 27705-3534
Phone: (919) 308-8675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3234 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3234 North Carolina

Profile Details

NPI number 1215027156
LBN Legal business name Banawan, Sammy F.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jun 6th, 2011 - about 14 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 1215027156 NPPES
North Carolina Other 046X7 BCBS PROVIDER NUMBER

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