Bano, Elisa
Bano, Elisa is an individual health care provider with primary practice located at 5001 Frankford Ave , Philadelphia PA 19124-2619. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Pharmacy Service Providers / Pharmacy Technician. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bano, Elisa can be contacted via phone (215) 288-5000.Contact Information
Primary practice address
5001 Frankford Ave
Philadelphia PA 19124-2619
Phone: (215) 288-5000
Fax: (215) 744-1233
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG002681 | Pennsylvania |
Pharmacy Service Providers / Pharmacy Technician | 183700000X | 5793 | Massachusetts |
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00851100 | New Jersey |
Profile Details
NPI number | 1679693741 |
---|---|
LBN Legal business name | Bano, Elisa |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2007 |
Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679693741 | NPPES |
Pennsylvania | Other | OEG002681 | LICENSE |
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