Brent Derrick Banks Jr., BA
Case Manager/Care Coordinator in Pontiac, MI. Individual provider (NPI-1).
NPI number1700568508
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1700568508
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brent Derrick Banks Jr.
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2023
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1685 Baldwin Ave Ste 100Pontiac, MI 48340-1242
Phone 248-706-3450
Mailing address
1685 Baldwin Ave Ste 100Pontiac, MI 48340-1242
Phone 248-706-3450
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All 76 Case Manager/Care Coordinator providers in Pontiac · All 2,469 providers in Pontiac
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