Banta, Maureen Theresa
Banta, Maureen Theresa is an individual health care provider with primary practice located at 2500 N Van Dorn St Ste 102 , Alexandria VA 22302-1601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Banta, Maureen Theresa can be contacted via phone (703) 933-0555.Contact Information
Primary practice address
2500 N Van Dorn St Ste 102
Alexandria VA 22302-1601
Phone: (703) 933-0555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0092143 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101057222 | Virginia |
Profile Details
| NPI number | 1871676122 |
|---|---|
| LBN Legal business name | Banta, Maureen Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Nov 19th, 2022 - about 4 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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