Individual
JAMES H BANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1188
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009929555
—
AL
01
—
051517360
BCBS OF AL
AL
01
—
051517361
BCBS OF AL
AL
05
—
051553994
—
AL
01
—
P00049410
RR MEDICARE
AL
Enumeration date
08/14/2006
Last updated
09/20/2011
Update your record
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