Individual
RONALD BANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-1000
Mailing address
6062 SAINT ANDREWS WAY, RAVENNA, OH 44266-7739
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
50000636
OH
363A00000X
Physician Assistant
Primary
1024454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970025542
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
07/21/2006
Last updated
02/27/2015
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