Bannerman, Kenneth
Bannerman, Kenneth is an individual health care provider with primary practice located at 1310 Broad St , Bloomfield NJ 07003-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bannerman, Kenneth can be contacted via phone (973) 338-0800.Contact Information
Primary practice address
1310 Broad St
Bloomfield NJ 07003-3009
Phone: (973) 338-0800
Fax: (973) 338-1140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 66554 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 66554 | New Jersey |
Profile Details
| NPI number | 1619969623 |
|---|---|
| LBN Legal business name | Bannerman, Kenneth |
| Credentials | MD FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 12th, 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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