Banks, Tommy Glenn

Banks, Tommy Glenn is an individual health care provider with primary practice located at 5328 Cypress St , West Monroe LA 71291-7506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Banks, Tommy Glenn can be contacted via phone (318) 966-1640.

Contact Information

Primary practice address
5328 Cypress St West Monroe LA 71291-7506
Fax: (318) 966-1641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 207356 Louisiana

Profile Details

NPI number 1952693830
LBN Legal business name Banks, Tommy Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2011
Last updated Jan 5th, 2024 - about last year

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 1952693830 NPPES
Other 07-328-545 ECFMG
Other 45448 ECFMG

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