Bankston, Marsha
Bankston, Marsha is an sole proprietor health care provider with primary practice located at 6701 Fortuna Rd Nw West Mesa Hs, Albuquerque NM 87121-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bankston, Marsha can be contacted via phone (505) 831-6993.Contact Information
Primary practice address
6701 Fortuna Rd Nw West Mesa Hs
Albuquerque NM 87121-1306
Phone: (505) 831-6993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 2241 | New Mexico |
Profile Details
| NPI number | 1871717314 |
|---|---|
| LBN Legal business name | Bankston, Marsha |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 9th, 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 | 1871717314 | NPPES |
| New Mexico | MEDICAID | S 9995 |
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