Banta, Ronald L

Banta, Ronald L is an individual health care provider with primary practice located at 3077 E 98Th St , Indianapolis IN 46280-2940. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Sports Medicine is his primary health care specialty. Banta, Ronald L can be contacted via phone (317) 843-2613.

Contact Information

Primary practice address
3077 E 98Th St Indianapolis IN 46280-2940
Phone: (317) 843-2613
Fax: (317) 574-5185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 07000296A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000296A Indiana

Profile Details

NPI number 1649218785
LBN Legal business name Banta, Ronald L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 27th, 2023 - about last year

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 1649218785 NPPES
Indiana Other P01424283 RAIL ROAD PTAN
Indiana MEDICAID 100461080 RAIL ROAD PTAN

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