Christopher Joseph Banta in Rexburg - Rehabilitation
Christopher Joseph Banta - NPI 1164545877
Christopher Joseph Banta is a Rehabilitation in Rexburg, Idaho. Christopher Joseph Banta practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Christopher Joseph Banta is 1164545877. The last update date is 2007-07-08.
Christopher Joseph Banta's current location address is 218 Dividend Dr Ste 3, Rexburg, Idaho. You can contact this provider via phone number 2083599683. The mailing address for Christopher Joseph Banta is 218 Dividend Dr Ste 3, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Joseph Banta |
|---|---|
| Address | 218 Dividend Dr Ste 3, Rexburg, Idaho |
| Phone Number | 2083599683 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BA PSYCHOL |
NPI Number Detail
| NPI Number | 1164545877 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 218 Dividend Dr Ste 3 |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834403510 |
| Phone Number | 2083599683 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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What is the unique 10-digit identification code assigned to Christopher Joseph Banta by the Centers for Medicare & Medicaid Services?
The Christopher Joseph Banta has been issued the NPI (National Provider Identifier) 1164545877, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Christopher Joseph Banta?
The Christopher Joseph Banta is situated at 218 Dividend Dr Ste 3, in the city of Rexburg, state of ID, with the zip code 834403510.
What is the area of specialization for Christopher Joseph Banta, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Christopher Joseph Banta is Rehabilitation, and the corresponding taxonomy code that categorizes this area of expertise is 103Tr0400X.
On what date did the Christopher Joseph Banta receive its 1164545877 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Joseph Banta was assigned its 1164545877 by the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information related to Christopher Joseph Banta most recently updated or refreshed?
The details pertaining to the Christopher Joseph Banta, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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