Lane, Edward Michael
Lane, Edward Michael is an individual health care provider with primary practice located at 4675 Main Street , Bridgeport CT 06606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lane, Edward Michael can be contacted via phone (203) 372-0009.Contact Information
Primary practice address
4675 Main Street
Bridgeport CT 06606
Phone: (203) 372-0009
Fax: (203) 372-7931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 024213 | Connecticut |
Profile Details
| NPI number | 1033140876 |
|---|---|
| LBN Legal business name | Lane, Edward Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | May 2nd, 2016 - about 10 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 | 1033140876 | NPPES |
| Connecticut | MEDICAID | 001242031 |
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