Banister, Logan Kale
Banister, Logan Kale is an sole proprietor health care provider with primary practice located at 1626 E Madison Ave , Derby KS 67037-2076. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Banister, Logan Kale can be contacted via phone (316) 788-1535.Contact Information
Primary practice address
1626 E Madison Ave
Derby KS 67037-2076
Phone: (316) 788-1535
Fax: (316) 788-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1856 | Kansas |
Profile Details
| NPI number | 1154551828 |
|---|---|
| LBN Legal business name | Banister, Logan Kale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2009 |
| Last updated | Aug 28th, 2009 - about 17 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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