Banham, Gina

Banham, Gina is an individual health care provider with primary practice located at 60 S Main St Ste B0001 , Brigham City UT 84302-6795. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Banham, Gina can be contacted via phone (435) 239-8768.

Contact Information

Primary practice address
60 S Main St Ste B0001 Brigham City UT 84302-6795
Phone: (435) 239-8768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750044103
LBN Legal business name Banham, Gina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 21st, 2021 - about 5 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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