Banning, Todd Richard

Banning, Todd Richard is an individual health care provider with primary practice located at 1241 Blakeslee Boulevard Dr E , Lehighton PA 18235-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Banning, Todd Richard can be contacted via phone (570) 386-6900.

Contact Information

Primary practice address
1241 Blakeslee Boulevard Dr E Lehighton PA 18235-2401
Phone: (570) 386-6900
Fax: (570) 386-6901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS-008961-L Pennsylvania

Profile Details

NPI number 1063425437
LBN Legal business name Banning, Todd Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 12th, 2013 - about 11 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 1063425437 NPPES
Pennsylvania MEDICAID 0018106500001

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