Banerian, Kirk G

Banerian, Kirk G is an individual health care provider with primary practice located at 3401 Ludington Street , Escanaba MI 49829-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Banerian, Kirk G can be contacted via phone (906) 786-3311.

Contact Information

Primary practice address
3401 Ludington Street Escanaba MI 49829-1300
Phone: (906) 786-3311
Fax: (906) 789-0941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME76335 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME76335 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301048787 Michigan

Profile Details

NPI number 1891882536
LBN Legal business name Banerian, Kirk G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 4th, 2022 - about 3 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 1891882536 NPPES
Florida MEDICAID 016623400
Florida Other 495680
Florida Other 0Q26008
Florida MEDICAID 4550607
Florida Other 371664910
Florida Other 0Q26008
Florida Other 1006439
Florida Other SJ820005
Florida Other 0Q26008054
Florida Other P00067927

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