OrganizationTed Banko Dc(<Unavail>)ChiropractorChiropractic ProvidersPractice Address3615 Nicholas St, Easton, PA 18045-5113(610) 252-2216PECOS EnrollmentBased on the most recent information from CMS, provider Ted Banko Dc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1104029420Provider TypeOrganizationFull NameTed Banko DcOther Name<Unavail>SubpartNoEnumeration Date6/6/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address3615 Nicholas St, Easton, PA 18045-5113Phone(610) 252-2216FaxUnlisted FaxMailing LocationMailing Address3615 Nicholas St, Easton, PA 18045-5113Phone(610) 252-2216FaxUnlisted FaxAuthorized OfficialNameBackenstoe, Kelly A (Billing Dept)Phone(610) 751-1289Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseDC001707LPennsylvania