Banks, Carol Ann
Banks, Carol Ann is an individual health care provider with primary practice located at 420 W Fourth Street Suite 100-A, Mishawaka IN 46544-1948. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Banks, Carol Ann can be contacted via phone (574) 252-0309.Contact Information
Primary practice address
420 W Fourth Street Suite 100-A
Mishawaka IN 46544-1948
Phone: (574) 252-0309
Fax: (574) 472-3694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 28120528A | Indiana |
Profile Details
| NPI number | 1295935880 |
|---|---|
| LBN Legal business name | Banks, Carol Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | May 21st, 2009 - about 15 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 | 1295935880 | NPPES |
| Indiana | MEDICAID | 200068990A |
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