Banister, Jason David

Banister, Jason David is an individual health care provider with primary practice located at 225 Medical Center Dr Ste 205, Paducah KY 42003-7907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banister, Jason David can be contacted via phone (270) 441-4462.

Contact Information

Primary practice address
225 Medical Center Dr Ste 205 Paducah KY 42003-7907
Phone: (270) 441-4462
Fax: (270) 441-4461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32967 Kentucky

Profile Details

NPI number 1336218031
LBN Legal business name Banister, Jason David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 25th, 2014 - about 11 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 1336218031 NPPES
Kentucky MEDICAID 64027147

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