Banti, Gustavo Miguel
Banti, Gustavo Miguel is an individual health care provider with primary practice located at 1281 E Cottonwood Ln , Casa Grande AZ 85122-2949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Banti, Gustavo Miguel can be contacted via phone (520) 876-0150.Contact Information
Primary practice address
1281 E Cottonwood Ln
Casa Grande AZ 85122-2949
Phone: (520) 876-0150
Fax: (520) 421-3474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036063412 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 47007 | Arizona |
Profile Details
| NPI number | 1710987904 |
|---|---|
| LBN Legal business name | Banti, Gustavo Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 4th, 2013 - about 11 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 | 1710987904 | NPPES |
| Arizona | Other | 2136778 | CIGNA |
| Arizona | Other | 328075 | CIGNA |
| Arizona | MEDICAID | 036063412 | CIGNA |
| Arizona | Other | 4500628 | CIGNA |
| Arizona | MEDICAID | 776955 | CIGNA |
| Arizona | Other | P01137572 | CIGNA |
| Arizona | Other | 4016817 | CIGNA |
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