Banisa, Marita Chan

Banisa, Marita Chan is an individual health care provider with primary practice located at 2401 S Side Blvd , Greensboro NC 27406-3311. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Banisa, Marita Chan can be contacted via phone (336) 604-2317.

Contact Information

Primary practice address
2401 S Side Blvd Greensboro NC 27406-3311
Phone: (336) 604-2317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 134372 North Carolina

Profile Details

NPI number 1447012349
LBN Legal business name Banisa, Marita Chan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2024
Last updated Jan 25th, 2024 - 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.

Request for update

Popular Providers