Bannon, Robert Chad

Bannon, Robert Chad is an individual health care provider with primary practice located at 5121 S Cottonwood St Ste 950, Murray UT 84107-5701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bannon, Robert Chad can be contacted via phone (801) 507-3462.

Contact Information

Primary practice address
5121 S Cottonwood St Ste 950 Murray UT 84107-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8782678-1206 Utah

Profile Details

NPI number 1366877029
LBN Legal business name Bannon, Robert Chad
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2013
Last updated Dec 4th, 2014 - 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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