Banton, Keith B
Banton, Keith B is an sole proprietor health care provider with primary practice located at 1937 Harrison Ave , Panama City FL 32405-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Banton, Keith B can be contacted via phone (850) 763-4700.Contact Information
Primary practice address
1937 Harrison Ave
Panama City FL 32405-4543
Phone: (850) 763-4700
Fax: (850) 763-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0085024 | Florida |
Profile Details
| NPI number | 1205896636 |
|---|---|
| LBN Legal business name | Banton, Keith B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 22nd, 2019 - about 5 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 | 1205896636 | NPPES |
| Florida | MEDICAID | 265799600 | |
| Florida | Other | 13636 |
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