Bane, Robert A

Bane, Robert A is an individual health care provider with primary practice located at 2300 S 1St St , Champaign IL 61820-7661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bane, Robert A can be contacted via phone (217) 383-9400.

Contact Information

Primary practice address
2300 S 1St St Champaign IL 61820-7661
Phone: (217) 383-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036110097 Illinois

Profile Details

NPI number 1487688974
LBN Legal business name Bane, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487688974 NPPES
Illinois Other 0533210001 DMERC
Illinois Other P00109532 DMERC

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