Banta Ii, Charles Jack

Banta Ii, Charles Jack is an individual health care provider with primary practice located at 8220 Walnut Hill Ln Ste 608 , Dallas TX 75231-4424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Banta Ii, Charles Jack can be contacted via phone (214) 987-3434.

Contact Information

Primary practice address
8220 Walnut Hill Ln Ste 608 Dallas TX 75231-4424
Phone: (214) 987-3434
Fax: (214) 987-3799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X J0438 Texas

Profile Details

NPI number 1205848512
LBN Legal business name Banta Ii, Charles Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1205848512 NPPES
Texas Other 81W560 BLUE CROSS

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