Banish, William Paul

Banish, William Paul is an individual health care provider with primary practice located at 10512 Park Rd Ste 101 , Charlotte NC 28210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banish, William Paul can be contacted via phone (704) 542-3631.

Contact Information

Primary practice address
10512 Park Rd Ste 101 Charlotte NC 28210
Fax: (704) 542-3646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19490 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 2015-00687 North Carolina

Profile Details

NPI number 1760468110
LBN Legal business name Banish, William Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Feb 8th, 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 1760468110 NPPES
South Carolina Other 76051 MEDCOST
South Carolina Other 770001362 MEDCOST
South Carolina MEDICAID 1760468110 MEDCOST
South Carolina MEDICAID T37948 MEDCOST
South Carolina Other 9645030 MEDCOST
South Carolina Other 620108 MEDCOST
South Carolina Other 9377345 MEDCOST

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