Bannon, Joseph Patrick

Bannon, Joseph Patrick is an individual health care provider with primary practice located at 1800 Mulberry St. , Scranton PA 18510-6800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bannon, Joseph Patrick can be contacted via phone (570) 703-7245.

Contact Information

Primary practice address
1800 Mulberry St. Scranton PA 18510-6800
Phone: (570) 703-7245
Fax: (570) 703-7325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD043408E Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD043408E Pennsylvania

Profile Details

NPI number 1396716023
LBN Legal business name Bannon, Joseph Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 10th, 2020 - about 4 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 1396716023 NPPES
Pennsylvania MEDICAID 0014648190001

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