Banker, Jaclyn M
Banker, Jaclyn M is an individual health care provider with primary practice located at 150 Tanner Rd Ste B , Greenville SC 29607-5917. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Banker, Jaclyn M can be contacted via phone (864) 297-0220.Contact Information
Primary practice address
150 Tanner Rd Ste B
Greenville SC 29607-5917
Phone: (864) 297-0220
Fax: (864) 297-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013272 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT26642 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL2464 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001852 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8983 | South Carolina |
Profile Details
| NPI number | 1306143144 |
|---|---|
| LBN Legal business name | Banker, Jaclyn M |
| Credentials | PT, DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Sep 5th, 2018 - about 6 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 | 1306143144 | NPPES |
| Florida | MEDICAID | 004041600 |
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