Banner, David W

Banner, David W is an individual health care provider with primary practice located at 3550 Market St Fl 4 Chop - Department Of Faculty Practice, Philadelphia PA 19104-3368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Banner, David W can be contacted via phone (215) 590-2178.

Contact Information

Primary practice address
3550 Market St Fl 4 Chop - Department Of Faculty Practice Philadelphia PA 19104-3368
Phone: (215) 590-2178
Fax: (215) 590-4619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD071202L Pennsylvania

Profile Details

NPI number 1811924707
LBN Legal business name Banner, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 17th, 2013 - about 13 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 1811924707 NPPES
New Jersey MEDICAID 8216401
New Jersey MEDICAID 0018032430003

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