Banish, William Paul
Banish, William Paul is an individual health care provider with primary practice located at 10512 Park Rd Ste 101 , Charlotte NC 28210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banish, William Paul can be contacted via phone (704) 542-3631.Contact Information
Primary practice address
10512 Park Rd Ste 101
Charlotte NC 28210
Phone: (704) 542-3631
Fax: (704) 542-3646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19490 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2015-00687 | North Carolina |
Profile Details
| NPI number | 1760468110 |
|---|---|
| LBN Legal business name | Banish, William Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Feb 8th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760468110 | NPPES |
| South Carolina | Other | 76051 | MEDCOST |
| South Carolina | Other | 770001362 | MEDCOST |
| South Carolina | MEDICAID | 1760468110 | MEDCOST |
| South Carolina | MEDICAID | T37948 | MEDCOST |
| South Carolina | Other | 9645030 | MEDCOST |
| South Carolina | Other | 620108 | MEDCOST |
| South Carolina | Other | 9377345 | MEDCOST |
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