NPI 1053602821

Beau James Banton, DC

Practitioner Chiropractor Shorewood, WI

Practice location

Address: 3510 N Oakland Ave STE 201, Shorewood, WI 53211-2746
Phone: (144) 962-0700
Fax: (414) 271-1727

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4741-12 (WI)

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Registry record

NPI: 1053602821
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2011
Record last updated: 29 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.