Banks, Angela Martin

Banks, Angela Martin is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Banks, Angela Martin can be contacted via phone (708) 923-3936.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1290
Phone: (708) 923-3936
Fax: (708) 923-8848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3321632 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 204826 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209025178 Illinois

Profile Details

NPI number 1902892128
LBN Legal business name Banks, Angela Martin
Credentials APRN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Sep 15th, 2022 - about 2 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 1902892128 NPPES
Florida MEDICAID DH756
Florida Other G00CU

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