Kirby, Mary Banaszak

Kirby, Mary Banaszak is an individual health care provider with primary practice located at 1040 Medical Park Ave , New Bern NC 28562-5248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kirby, Mary Banaszak can be contacted via phone (252) 633-1678.

Contact Information

Primary practice address
1040 Medical Park Ave New Bern NC 28562-5248
Phone: (252) 633-1678
Fax: (252) 633-1403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200300632 North Carolina

Profile Details

NPI number 1104872316
LBN Legal business name Kirby, Mary Banaszak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 26th, 2011 - about 14 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 1104872316 NPPES
North Carolina Other 134X7 BCBS OF NC
North Carolina MEDICAID 89134X7 BCBS OF NC

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