Banta, Christopher Joseph

Banta, Christopher Joseph is an individual health care provider with primary practice located at 218 Dividend Dr Ste 3 , Rexburg ID 83440-3510. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Banta, Christopher Joseph can be contacted via phone (208) 359-9683.

Contact Information

Primary practice address
218 Dividend Dr Ste 3 Rexburg ID 83440-3510
Phone: (208) 359-9683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1164545877
LBN Legal business name Banta, Christopher Joseph
Credentials BA PSYCHOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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