Banzon, Henry A

Banzon, Henry A is an individual health care provider with primary practice located at 10561 Jeffreys St Suite 200, Henderson NV 89052-4179. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Banzon, Henry A can be contacted via phone (702) 407-9431.

Contact Information

Primary practice address
10561 Jeffreys St Suite 200 Henderson NV 89052-4179
Phone: (702) 407-9431
Fax: (702) 407-9461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 993 Nevada

Profile Details

NPI number 1396744082
LBN Legal business name Banzon, Henry A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396744082 NPPES
Nevada MEDICAID 100506625

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