Banowetz, John Mike
Banowetz, John Mike is an individual health care provider with primary practice located at 4120 W Memorial Rd #218, Oklahoma City OK 73120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Banowetz, John Mike can be contacted via phone (405) 302-2661.Contact Information
Primary practice address
4120 W Memorial Rd #218
Oklahoma City OK 73120
Phone: (405) 302-2661
Fax: (405) 302-2670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 10184 | Oklahoma |
Profile Details
| NPI number | 1801867254 |
|---|---|
| LBN Legal business name | Banowetz, John Mike |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Apr 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801867254 | NPPES |
| Oklahoma | MEDICAID | 100128980A |
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