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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669471561 | NPPES |
| West Virginia | MEDICAID | 0048235000 |
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