Banner, Charles Alan

Banner, Charles Alan is an individual health care provider with primary practice located at 3950 Bristol Hwy , Johnson City TN 37601-1378. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Banner, Charles Alan can be contacted via phone (423) 283-6500.

Contact Information

Primary practice address
3950 Bristol Hwy Johnson City TN 37601-1378
Phone: (423) 283-6500
Fax: (423) 286-6550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548302581
LBN Legal business name Banner, Charles Alan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
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.

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