Banwart, Leo A

Banwart, Leo A is an individual health care provider with primary practice located at 1221 S Gear Ave , West Burlington IA 52655. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Banwart, Leo A can be contacted via phone (319) 768-3628.

Contact Information

Primary practice address
1221 S Gear Ave West Burlington IA 52655
Phone: (319) 768-3628
Fax: (319) 768-3633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 001088 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0010881 Iowa

Profile Details

NPI number 1598747891
LBN Legal business name Banwart, Leo A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 4th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598747891 NPPES
Iowa Other 49776 BX
Iowa Other 930097503 BX

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