Banner, Nicole

Banner, Nicole is an sole proprietor health care provider with primary practice located at 811 Russell Ave Ste B , Gaithersburg MD 20879-3524. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Banner, Nicole can be contacted via phone (240) 418-8655.

Contact Information

Primary practice address
811 Russell Ave Ste B Gaithersburg MD 20879-3524
Phone: (240) 418-8655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X M03967 Maryland

Profile Details

NPI number 1982831061
LBN Legal business name Banner, Nicole
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Jun 16th, 2009 - about 16 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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