Banta, Linda J.
Banta, Linda J. is an sole proprietor health care provider with primary practice located at 109 Gallery Cir Suite 135, San Antonio TX 78258-3327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Banta, Linda J. can be contacted via phone (210) 494-0504.Contact Information
Primary practice address
109 Gallery Cir Suite 135
San Antonio TX 78258-3327
Phone: (210) 494-0504
Fax: (210) 494-0593
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | J3779 | Texas |
Profile Details
NPI number | 1144221359 |
---|---|
LBN Legal business name | Banta, Linda J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Jun 4th, 2010 - about 14 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 | 1144221359 | NPPES |
Other | CK2746 | MEDICARE RR | |
Other | 81342X | MEDICARE RR |
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