Fay-Bannister, Kerry A
Fay-Bannister, Kerry A is an sole proprietor health care provider with primary practice located at 789 Central Avenue Wentworth Douglas Hospital, Dover NH 03820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fay-Bannister, Kerry A can be contacted via phone (603) 749-7246.Contact Information
Primary practice address
789 Central Avenue Wentworth Douglas Hospital
Dover NH 03820
Phone: (603) 749-7246
Fax: (603) 749-2453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 042782 | New Hampshire |
Profile Details
| NPI number | 1831176262 |
|---|---|
| LBN Legal business name | Fay-Bannister, Kerry A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Mar 20th, 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 | 1831176262 | NPPES |
| New Hampshire | MEDICAID | 30011345 |
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