Bankston, Cecil Noel
Bankston, Cecil Noel is an individual health care provider with primary practice located at 4841 Woodlake Dr , Baton Rouge LA 70817-1833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bankston, Cecil Noel can be contacted via phone (225) 753-7917.Contact Information
Primary practice address
4841 Woodlake Dr
Baton Rouge LA 70817-1833
Phone: (225) 753-7917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 011675 | Louisiana |
Profile Details
| NPI number | 1891793188 |
|---|---|
| LBN Legal business name | Bankston, Cecil Noel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891793188 | NPPES |
| Louisiana | MEDICAID | 1189596 |
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