Bane, Tabitha J

Bane, Tabitha J is an sole proprietor health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1673. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bane, Tabitha J can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1673
Fax: (260) 425-6615
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005510A Indiana

Profile Details

NPI number 1417339896
LBN Legal business name Bane, Tabitha J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2015
Last updated Apr 25th, 2023 - about 2 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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