Bane, Stephen Michael

Bane, Stephen Michael is an sole proprietor health care provider with primary practice located at 2280 Opitz Blvd Suite 340, Woodbridge VA 22191-3362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Bane, Stephen Michael can be contacted via phone (703) 878-0777.

Contact Information

Primary practice address
2280 Opitz Blvd Suite 340 Woodbridge VA 22191-3362
Phone: (703) 878-0777
Fax: (703) 583-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101055871 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0101055871 Virginia

Profile Details

NPI number 1528046349
LBN Legal business name Bane, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Mar 12th, 2019 - about 6 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 1528046349 NPPES
Virginia MEDICAID 6500226

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