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Contact Information

BRILYN M BANISTER, PA-C
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN46227-0963
 Phone: 317-887-7880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRILYN M BANISTER · (Female)

NPI # 1124634936
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/17/2020
Last updated 05/12/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • IN License # 10003071A
Hospital affiliation(s)
  • SCHNECK MEDICAL CENTER - (Acute Care)
    411 W TIPTON ST
    SEYMOUR, IN 47274
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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