Banker, Brian

Banker, Brian is an individual health care provider with primary practice located at 70 Post Office Park , Wilbraham MA 01095-1290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Banker, Brian can be contacted via phone (413) 598-7770.

Contact Information

Primary practice address
70 Post Office Park Wilbraham MA 01095-1290
Fax: (413) 599-1399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 225181 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 238726 Massachusetts

Profile Details

NPI number 1871711192
LBN Legal business name Banker, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 17th, 2011 - about 14 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 1871711192 NPPES
Massachusetts MEDICAID 110082697/A

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