Banks, Charles A

Banks, Charles A is an individual health care provider with primary practice located at 6708 Raytown Rd , Raytown MO 64133-5272. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Banks, Charles A can be contacted via phone (816) 353-1872.

Contact Information

Primary practice address
6708 Raytown Rd Raytown MO 64133-5272
Fax: (816) 353-5022
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02112 Missouri

Profile Details

NPI number 1124002134
LBN Legal business name Banks, Charles A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1124002134 NPPES
Missouri Other T02112 LICENSE

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