Banning, Jade

Banning, Jade is an individual health care provider with primary practice located at 605 W Lincoln St , Lindsborg KS 67456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Banning, Jade can be contacted via phone (785) 227-3371.

Contact Information

Primary practice address
605 W Lincoln St Lindsborg KS 67456
Phone: (785) 227-3371
Fax: (785) 227-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01763 Kansas

Profile Details

NPI number 1760810568
LBN Legal business name Banning, Jade
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2013
Last updated Mar 23rd, 2020 - about 6 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 1760810568 NPPES
Kansas MEDICAID 201173790A

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