Banzon, Jasper S

Banzon, Jasper S is an individual health care provider with primary practice located at 1313 Dunbar Ave , Dunbar WV 25064-2920. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Banzon, Jasper S can be contacted via phone (304) 654-6892.

Contact Information

Primary practice address
1313 Dunbar Ave Dunbar WV 25064-2920
Phone: (304) 654-6892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1092 West Virginia

Profile Details

NPI number 1730200601
LBN Legal business name Banzon, Jasper S
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Sep 9th, 2013 - about 12 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 1730200601 NPPES
West Virginia Other 1092 OCCUPATIONAL THERAPY LIC
West Virginia Other KY-R2967 OCCUPATIONAL THERAPY LIC

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