Bandur, Joseph
Bandur, Joseph is an sole proprietor health care provider with primary practice located at 17307 Pagonia Dr # 100 , Clermont FL 34711-5932. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bandur, Joseph can be contacted via phone (352) 989-4941.Contact Information
Primary practice address
17307 Pagonia Dr # 100
Clermont FL 34711-5932
Phone: (352) 989-4941
Fax: (352) 404-6971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 7683 | Florida |
Profile Details
| NPI number | 1013079037 |
|---|---|
| LBN Legal business name | Bandur, Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Aug 27th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013079037 | NPPES |
| Florida | MEDICAID | 008389400 |
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