Banyasz, Michael James

Banyasz, Michael James is an individual health care provider with primary practice located at 350 N Grandview Ave , Dubuque IA 52001-6388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Banyasz, Michael James can be contacted via phone (563) 582-1881.

Contact Information

Primary practice address
350 N Grandview Ave Dubuque IA 52001-6388
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R6741 Texas

Profile Details

NPI number 1619160322
LBN Legal business name Banyasz, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2007
Last updated Dec 20th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619160322 NPPES
Ohio Other 35.091111 STATE MEDICAL BOARD OF OHIO LICENSE
Ohio MEDICAID 386672503 STATE MEDICAL BOARD OF OHIO LICENSE
Ohio MEDICAID 386672501 STATE MEDICAL BOARD OF OHIO LICENSE

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