Banta, Mark Cody
Banta, Mark Cody is an individual health care provider with primary practice located at 3033 N Walnut Ave , Oklahoma City OK 73105-2832. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Banta, Mark Cody can be contacted via phone (405) 230-1145.Contact Information
Primary practice address
3033 N Walnut Ave
Oklahoma City OK 73105-2832
Phone: (405) 230-1145
Fax: (405) 552-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1013138965 |
|---|---|
| LBN Legal business name | Banta, Mark Cody |
| Credentials | LPC U/S, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Sep 1st, 2009 - about 17 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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