Banta, Michelle M
Banta, Michelle M is an sole proprietor health care provider with primary practice located at 4060 Fourth Ave Suite 330, San Diego CA 92103-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Banta, Michelle M can be contacted via phone (619) 291-2274.Contact Information
Primary practice address
4060 Fourth Ave Suite 330
San Diego CA 92103-2116
Phone: (619) 291-2274
Fax: (619) 291-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G48751 | California |
Profile Details
| NPI number | 1588740138 |
|---|---|
| LBN Legal business name | Banta, Michelle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Feb 25th, 2008 - about 16 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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