Banz, Angela Marie

Banz, Angela Marie is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 4650 , Ogden UT 84403-3294. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Banz, Angela Marie can be contacted via phone (801) 475-3240.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 4650 Ogden UT 84403-3294
Phone: (801) 475-3240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10455364-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10455364-1206 Utah

Profile Details

NPI number 1285151662
LBN Legal business name Banz, Angela Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated May 21st, 2021 - about 4 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 1285151662 NPPES
Utah MEDICAID 1285151662

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