Bannister, Robert

Bannister, Robert is an individual health care provider with primary practice located at 1801 Hickman Rd Broadlawns Medical Center, Des Moines IA 50314-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bannister, Robert can be contacted via phone (515) 282-2319.

Contact Information

Primary practice address
1801 Hickman Rd Broadlawns Medical Center Des Moines IA 50314-1505
Phone: (515) 282-2319
Fax: (515) 282-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17898 Iowa

Profile Details

NPI number 1518952746
LBN Legal business name Bannister, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1518952746 NPPES
Iowa MEDICAID 1090274

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