Banez, Monico Peter

Banez, Monico Peter is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Banez, Monico Peter can be contacted via phone (731) 660-8759.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (731) 660-8759
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 27436 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35303 Tennessee

Profile Details

NPI number 1962479451
LBN Legal business name Banez, Monico Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Aug 15th, 2022 - about 2 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 1962479451 NPPES
Tennessee MEDICAID 3889132
Tennessee Other 4070560
Tennessee Other P00077531

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