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:
Health care specialties
| Specialty | Code | License # | 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 17 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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