Individual
JOEL T BANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGHLINE DR, EAST WENATCHEE, WA 98802-5341
(509) 884-0614
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD000388864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151241
L&I
WA
05
—
1144256298
—
WA
01
—
314880
L&I POST 7/21/13
WA
01
—
P01287730
RR MEDICARE
WA
Enumeration date
06/23/2006
Last updated
05/25/2022
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