Banks, Ida M

Banks, Ida M is an individual health care provider with primary practice located at 210 9Th St Se , Rochester MN 55904-6756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Banks, Ida M can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
210 9Th St Se Rochester MN 55904-6756
Phone: (507) 288-3443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1401789 Minnesota

Profile Details

NPI number 1144486556
LBN Legal business name Banks, Ida M
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Apr 11th, 2017 - about 8 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 1144486556 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00728940

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