Banitt, Michael R

Banitt, Michael R is an individual health care provider with primary practice located at 16404 Smokey Point Blvd Ste 303 , Arlington WA 98223-8417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Banitt, Michael R can be contacted via phone (360) 658-6224.

Contact Information

Primary practice address
16404 Smokey Point Blvd Ste 303 Arlington WA 98223-8417
Phone: (360) 658-6224
Fax: (360) 658-6227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60583808 Washington

Profile Details

NPI number 1417006883
LBN Legal business name Banitt, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 20th, 2021 - about 4 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 1417006883 NPPES
Washington MEDICAID 1417006883

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