Bannister, Kalissa
Bannister, Kalissa is an individual health care provider with primary practice located at 408 Jerick Cir , Charleston WV 25302-4470. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bannister, Kalissa can be contacted via phone (304) 881-1186.Contact Information
Primary practice address
408 Jerick Cir
Charleston WV 25302-4470
Phone: (304) 881-1186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1740744994 |
|---|---|
| LBN Legal business name | Bannister, Kalissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2019 |
| Last updated | Jan 22nd, 2019 - about 5 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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