Lane, Edward
Lane, Edward is an individual health care provider with primary practice located at 820 Memorial St Ste 1 , Prosser WA 99350-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lane, Edward can be contacted via phone (509) 786-2010.Contact Information
Primary practice address
820 Memorial St Ste 1
Prosser WA 99350-2504
Phone: (509) 786-2010
Fax: (509) 788-1794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00029197 | Washington |
Profile Details
| NPI number | 1013023738 |
|---|---|
| LBN Legal business name | Lane, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Mar 18th, 2021 - about 3 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 | 1013023738 | NPPES |
| Other | 911019392 | COMMERCIAL | |
| Other | 9392LA | COMMERCIAL | |
| Other | 8142218 | COMMERCIAL | |
| Other | 1306897681 | COMMERCIAL | |
| MEDICAID | 8142218 | COMMERCIAL | |
| Other | 0200684 | COMMERCIAL |
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