Individual
DR. JOE EDWARD BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
234 E SOUTHERN AVE, INDIANAPOLIS, IN 46225-2121
(317) 954-8659
(317) 781-0470
Mailing address
333 W HAMPTON DR, INDIANAPOLIS, IN 46208-3632
(574) 304-0428
(317) 602-7531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000567706
BCBS
IN
01
—
000000665120
ANTHEM FMC
IN
05
—
200906930
—
IN
Enumeration date
01/22/2008
Last updated
03/15/2022
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