Banisa, Marita Chan
Banisa, Marita Chan is an individual health care provider with primary practice located at 2401 S Side Blvd , Greensboro NC 27406-3311. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Banisa, Marita Chan can be contacted via phone (336) 604-2317.Contact Information
Primary practice address
2401 S Side Blvd
Greensboro NC 27406-3311
Phone: (336) 604-2317
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Medical-Surgical | 163WM0705X | 134372 | North Carolina |
Profile Details
NPI number | 1447012349 |
---|---|
LBN Legal business name | Banisa, Marita Chan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2024 |
Last updated | Jan 25th, 2024 - about last year |
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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