Banta, Travis Bruce
Banta, Travis Bruce is an sole proprietor health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Banta, Travis Bruce can be contacted via phone (225) 757-0552.Contact Information
Primary practice address
5000 Hennessy Blvd
Baton Rouge LA 70808
Phone: (225) 757-0552
Fax: (225) 763-9997
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 91576 | Georgia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | T-3287 | Mississippi |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 331083 | Louisiana |
Profile Details
NPI number | 1265964548 |
---|---|
LBN Legal business name | Banta, Travis Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2017 |
Last updated | Oct 20th, 2022 - about 2 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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