Beane, Michael Edward

Beane, Michael Edward is an individual health care provider with primary practice located at 1500 Grand Central Ave , Vienna WV 26105-1079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beane, Michael Edward can be contacted via phone (304) 485-3627.

Contact Information

Primary practice address
1500 Grand Central Ave Vienna WV 26105-1079
Phone: (304) 485-3627
Fax: (304) 295-2315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19118 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35073683 Ohio

Profile Details

NPI number 1669471561
LBN Legal business name Beane, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 15th, 2011 - about 14 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 1669471561 NPPES
West Virginia MEDICAID 0048235000

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