Dr. Stephen Michael Bane
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
2280 Opitz Blvd Suite 340
Woodbridge
, Virginia 22191-3362
Dr. Stephen Michael Bane
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
2280 Opitz Blvd Suite 340
Woodbridge
, Virginia 22191-3362
(703) 878-0777
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Stephen Michael Bane
- 207 Jefferson St
- Alexandria, VA
- Zip : 22314-4323
- Phone : (703) 878-0777
Second Address
- Dr. Stephen Michael Bane
- 2280 Opitz Blvd Suite 340
- Woodbridge, VA
- Zip : 22191-3362
- Fax : (703) 583-1777
- Phone : (703) 878-0777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101055871 | VA |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0101055871 | VA |
National Provider Identifier
| NPI | 1528046349 |
|---|---|
| Provider Name | Dr. Stephen Michael Bane |
| First Address | Alexandria, VA 22314-4323 |
| Second Address | Woodbridge, VA 22191-3362 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2006 |
| Last Update Date | 12/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6500226 | (05) | VA |
| F95811 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.