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Contact Information

CARLOS BANNISTER, MPT
5908 PEACEFUL GLEN DR
PFAFFTOWN, NC27040-9300
 Phone: 336-287-7941
 Fax: 336-287-7941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CARLOS BANNISTER · (Male)

NPI Number 1548797699
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 05/19/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 12879
Hospital affiliation(s) Not Available
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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