Baniak, Thomas G.

Baniak, Thomas G. is an individual health care provider with primary practice located at 4150 V St Pssb-Suite 1200, Med: Anesthesia, Sacramento CA 95817-1460. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baniak, Thomas G. can be contacted via phone (916) 734-7985.

Contact Information

Primary practice address
4150 V St Pssb-Suite 1200, Med: Anesthesia Sacramento CA 95817-1460
Phone: (916) 734-7985
Fax: (916) 734-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 412652/1098 (RN/CRNA California

Profile Details

NPI number 1255317962
LBN Legal business name Baniak, Thomas G.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1255317962 NPPES
California Other 004076 PHYSICIAN INDEX NO.

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