Bannan, Avery

Bannan, Avery is an individual health care provider with primary practice located at E10931 State Road 60 , Sauk City WI 53583-9607. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bannan, Avery can be contacted via phone (608) 370-2711.

Contact Information

Primary practice address
E10931 State Road 60 Sauk City WI 53583-9607
Phone: (608) 370-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1871961474
LBN Legal business name Bannan, Avery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2015
Last updated Sep 13th, 2015 - about 10 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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