Bankhead, Joe Mack
Bankhead, Joe Mack is an sole proprietor health care provider with primary practice located at 7199 Beaver Creek Rd , Sulligent AL 35586-4603. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Bankhead, Joe Mack can be contacted via phone (205) 698-0553.Contact Information
Primary practice address
7199 Beaver Creek Rd
Sulligent AL 35586-4603
Phone: (205) 698-0553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 20283 | Alabama |
Profile Details
| NPI number | 1194295832 |
|---|---|
| LBN Legal business name | Bankhead, Joe Mack |
| Credentials | DR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2018 |
| Last updated | Nov 26th, 2018 - about 7 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 | 1194295832 | NPPES |
| Alabama | MEDICAID | 20283 |
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