Provider Demographics
NPI:1669261905
Name:BANKS, ROBERT QUEBEC (CCT, CET)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:QUEBEC
Last Name:BANKS
Suffix:
Gender:
Credentials:CCT, CET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7014
Mailing Address - Country:US
Mailing Address - Phone:202-760-8692
Mailing Address - Fax:
Practice Address - Street 1:4408 16TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7014
Practice Address - Country:US
Practice Address - Phone:202-760-8692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCY2L7J2A3374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician