Banning, Michelle Jean

Banning, Michelle Jean is an individual health care provider with primary practice located at 804 Dan Ark Circle , Danville AR 72833-0220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Banning, Michelle Jean can be contacted via phone (479) 495-7300.

Contact Information

Primary practice address
804 Dan Ark Circle Danville AR 72833-0220
Phone: (479) 495-7300
Fax: (479) 495-7891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E1802 Arkansas

Profile Details

NPI number 1790753929
LBN Legal business name Banning, Michelle Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 13th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790753929 NPPES
Arkansas MEDICAID 135336001
Arkansas Other CS8405

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