Darrell Lee Banta
Individual provider Active NPI Rehabilitation Practitioner · Minden, NV
NPI 1750650800 · NPPES record last updated Dec 19, 2011
Key facts
- NPI
- 1750650800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 2560 Business Pkwy
Minden, NV 89423-8985 - Phone
- (775) 267-9411
- NPI assigned
- Dec 19, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
2560 Business Pkwy
Minden, NV 89423-8985
Mailing address
2560 Business Pkwy
Minden, NV 89423-8985
Other providers in Minden, NV
- Auralcare Hearing Centers of America, LLC
- Wendy Auslen Schopf
- Mark Avery
- Alfonso Baez
- Beau Baker
- Stephen Barbetti
- Joshua Barr
- Susan Marie Barry
- Basecamp Wellness Management Group, LLC
- Kevin Basped
All providers in Minden, NV · Rehabilitation Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.