Banner, Blake

Banner, Blake is an sole proprietor health care provider with primary practice located at 971A Roberts Dr , Elgin SC 29045-9087. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Banner, Blake can be contacted via phone (803) 543-2185.

Contact Information

Primary practice address
971A Roberts Dr Elgin SC 29045-9087
Phone: (803) 543-2185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X South Carolina

Profile Details

NPI number 1821465592
LBN Legal business name Banner, Blake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2015
Last updated Aug 28th, 2015 - about 9 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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