NPI 1669471561 · live from the CMS NPI Registry
Michael Edward Beane, MD
Family Medicine in Vienna, WV. National Provider Identifier 1669471561, active.
NPI record
| NPI | 1669471561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1500 Grand Central Ave, Vienna, WV 26105 |
| Practice phone | 304-485-3627 |
| Mailing address | 2 Merrywood Ln, Vienna, WV 26105 |
| Enumerated | July 21, 2005 |
| Last updated | June 15, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 19118 (WV) |
| Family Medicine | 207Q00000X | 35073683 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.