Doctor Name: | DR. JAMES BANE |
NPI Number: | 1477875649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13032 |
Business Practice Address: | 11106 N 61st St Omaha, NE - 681521470 |
Business Phone Number: | 4025739398 |
Business Fax Number: | |
Mailing Address: | 11106 N 61st St, OMAHA |
State: | NE |
Postal Code: | 681521470 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/15/2010 |
NPI Last Update Date: | 02/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |