Banda, Shem Carlo

Banda, Shem Carlo is an individual health care provider with primary practice located at 1220 Missouri Ave , Jeffersonville IN 47130-3725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Banda, Shem Carlo can be contacted via phone (812) 282-6631.

Contact Information

Primary practice address
1220 Missouri Ave Jeffersonville IN 47130-3725
Phone: (812) 282-6631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10002804A Indiana

Profile Details

NPI number 1265082697
LBN Legal business name Banda, Shem Carlo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - about 5 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 1265082697 NPPES
Indiana Other 10002804A STATE LICENSE

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