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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1144221359 NPPES
Other CK2746 MEDICARE RR
Other 81342X MEDICARE RR

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