David Bane II
Community Health Worker in Cleveland, OH. Individual provider (NPI-1).
NPI number1689320830
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1689320830
- Entity type
- Individual (NPI-1)
- Name
- David Bane II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2022
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
8915 Empire AveCleveland, OH 44108-2868
Phone 216-466-6306
Mailing address
8915 Empire AveCleveland, OH 44108-2868
Phone 216-466-6306
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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