Dr. Jeffrey Richard Banas
Chiropractic Sports Physician
4540 E Baseline Rd Ste 106
Mesa
, Arizona 85206-4616
Dr. Jeffrey Richard Banas
Chiropractic Sports Physician
4540 E Baseline Rd Ste 106
Mesa
, Arizona 85206-4616
(480) 393-0928
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Richard Banas
- Po Box 2055
- Mesa, AZ
- Zip : 85214
- Fax : (480) 393-0928
- Phone : (480) 633-6837
Second Address
- Dr. Jeffrey Richard Banas
- 4540 E Baseline Rd Ste 106
- Mesa, AZ
- Zip : 85206-4616
- Fax : (480) 393-0928
- Phone : (480) 633-6837
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 5396 | AZ |
National Provider Identifier
| NPI | 1063588739 |
|---|---|
| Provider Name | Dr. Jeffrey Richard Banas |
| First Address | Mesa, AZ 85214 |
| Second Address | Mesa, AZ 85206-4616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2006 |
| Last Update Date | 13/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043563 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.