Banker, Andrew R

Banker, Andrew R is an individual health care provider with primary practice located at 2250 Hospital Dr Suite 132, Bossier City LA 71111-2167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Banker, Andrew R can be contacted via phone (318) 747-5812.

Contact Information

Primary practice address
2250 Hospital Dr Suite 132 Bossier City LA 71111-2167
Phone: (318) 747-5812
Fax: (318) 747-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 6203 Louisiana

Profile Details

NPI number 1336359744
LBN Legal business name Banker, Andrew R
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Mar 9th, 2012 - 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 1336359744 NPPES
Louisiana MEDICAID 1093360
Louisiana MEDICAID 09336

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