Banta, Raymond Dwight
Banta, Raymond Dwight is an individual health care provider with primary practice located at 27691 Capshaw Rd , Harvest AL 35749-7403. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Banta, Raymond Dwight can be contacted via phone (256) 230-3416.Contact Information
Primary practice address
27691 Capshaw Rd
Harvest AL 35749-7403
Phone: (256) 230-3416
Fax: (256) 230-3407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10312 | Alabama |
Profile Details
| NPI number | 1538532478 |
|---|---|
| LBN Legal business name | Banta, Raymond Dwight |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2015 |
| Last updated | Oct 31st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538532478 | NPPES |
| Alabama | MEDICAID | 100003700 |
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