Jeffrey Richard Banas in Mesa - Sports Physician

Jeffrey Richard Banas - NPI 1063588739

Jeffrey Richard Banas is a Sports Physician in Mesa, Arizona. Jeffrey Richard Banas practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jeffrey Richard Banas is 1063588739. The last update date is 2011-04-13.

Jeffrey Richard Banas's current location address is Po Box 2055, Mesa, Arizona. You can contact this provider via phone number 4806336837 and fax number 4803930928. The mailing address for Jeffrey Richard Banas is Po Box 2055, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Richard Banas
Address Po Box 2055, Mesa, Arizona
Phone Number 4806336837
Fax Number 4803930928
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1063588739
Provider Enumeration Date 2006-11-27
Last Updated Date 2011-04-13

Provider Mailing Address Detail

Address Po Box 2055
City Mesa
State Arizona (AZ)
Post Code 85214
Phone Number 4806336837
Fax Number 4803930928

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 5396
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Jeffrey Richard Banas

What is the unique provider identifier assigned to Jeffrey Richard Banas?

The Jeffrey Richard Banas has been issued the NPI (National Provider Identifier) 1063588739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jeffrey Richard Banas is located?

The Jeffrey Richard Banas is situated at the following address: Po Box 2055, Mesa, AZ, 85214.

What is Jeffrey Richard Banas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeffrey Richard Banas is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did the Jeffrey Richard Banas receive its 1063588739 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Richard Banas was assigned its 1063588739 by the Centers for Medicare & Medicaid Services on 2006-11-27.

As of what date was the information regarding Jeffrey Richard Banas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Richard Banas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-13.

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