Provider Demographics
NPI:1124829650
Name:BANKS, MARGARET LORETTA (CCMA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LORETTA
Last Name:BANKS
Suffix:
Gender:
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 WISCONSIN AVE NW APT 250
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2874
Mailing Address - Country:US
Mailing Address - Phone:202-812-5847
Mailing Address - Fax:
Practice Address - Street 1:4000 WISCONSIN AVE NW APT 250
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2874
Practice Address - Country:US
Practice Address - Phone:202-812-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCN00328475390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program