| Hermann D. Banks, M.d., P.c. | |
|
14700 Farmington Rd Ste 102 Livonia MI 48154-5434 | |
| (734) 525-5744 | |
| (734) 525-3932 |
| Full Name | Hermann D. Banks, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14700 Farmington Rd Ste 102, Livonia, Michigan |
| Authorized Official Name and Position | Hermann D Banks (PRESIDENT) |
| Authorized Official Contact | 7345255744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermann D. Banks, M.d., P.c. 14700 Farmington Rd Ste 102 Livonia MI 48154-5434 Ph: (734) 525-5744 | Hermann D. Banks, M.d., P.c. 14700 Farmington Rd Ste 102 Livonia MI 48154-5434 Ph: (734) 525-5744 |
| NPI Number | 1558464149 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Medicare PECOS PAC ID | 1951374339 |
|---|---|
| Medicare Enrollment ID | O20040813001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558464149 | NPI | - | NPPES |
| 4094874 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hermann D Banks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760479398 PECOS PAC ID: 4789851973 Enrollment ID: I20120111000110 |
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