Banka, Gregory
Banka, Gregory is an individual health care provider with primary practice located at 1424 Deborah Rd Se Suite 202C, Rio Rancho NM 87124-1058. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Banka, Gregory can be contacted via phone (505) 859-7734.Contact Information
Primary practice address
1424 Deborah Rd Se Suite 202C
Rio Rancho NM 87124-1058
Phone: (505) 859-7734
Fax: (505) 859-7602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC: 2379 | New Mexico |
Profile Details
| NPI number | 1447269147 |
|---|---|
| LBN Legal business name | Banka, Gregory |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447269147 | NPPES |
| New Mexico | MEDICAID | 98207326 |
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