Bane, Tim M

Bane, Tim M is an sole proprietor health care provider with primary practice located at 1092 Winter Wren St , Grundy VA 24614-5770. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bane, Tim M can be contacted via phone (540) 632-9184.

Contact Information

Primary practice address
1092 Winter Wren St Grundy VA 24614-5770
Phone: (540) 632-9184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126000341 Virginia

Profile Details

NPI number 1487302592
LBN Legal business name Bane, Tim M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2022
Last updated Mar 17th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487302592 NPPES
Other 812463 NATIONAL ATHLETIC TRAINERS ASSOCIATION BOC

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