Lane, Brian E
Lane, Brian E is an individual health care provider with primary practice located at 47 W Owens Ave , North Las Vegas NV 89030-6865. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lane, Brian E can be contacted via phone (702) 307-4635.Contact Information
Primary practice address
47 W Owens Ave
North Las Vegas NV 89030-6865
Phone: (702) 307-4635
Fax: (702) 307-4631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA575 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA575 | Nevada |
Profile Details
NPI number | 1689686578 |
---|---|
LBN Legal business name | Lane, Brian E |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Aug 13th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689686578 | NPPES |
Nevada | MEDICAID | 1689686578 |
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