Havens Banner, Anna Michelle

Havens Banner, Anna Michelle is an individual health care provider with primary practice located at 5507 Sw 9Th Avenue , Amarillo TX 79106. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Havens Banner, Anna Michelle can be contacted via phone (806) 468-7611.

Contact Information

Primary practice address
5507 Sw 9Th Avenue Amarillo TX 79106
Phone: (806) 468-7611
Fax: (806) 468-7603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 34253 Texas
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 0217267-01 Texas

Profile Details

NPI number 1063673374
LBN Legal business name Havens Banner, Anna Michelle
Credentials STA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jul 25th, 2018 - about 8 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 1063673374 NPPES
Texas MEDICAID 0217267-01

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