Banka, Michael

Banka, Michael is an individual health care provider with primary practice located at 3570 Henry St Ste 120 , Norton Shores MI 49441-4576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Banka, Michael can be contacted via phone (231) 672-7000.

Contact Information

Primary practice address
3570 Henry St Ste 120 Norton Shores MI 49441-4576
Fax: (231) 728-5041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047040 Michigan

Profile Details

NPI number 1013994870
LBN Legal business name Banka, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 22nd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013994870 NPPES
Michigan MEDICAID 4287585

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