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Contact Information

KRAIG Y BANO, MPT CHT
9475 ROOSEVELT BLVD
PHILADELPHIA, PA19114-2212
 Phone: 215-464-6200
 Fax: 215-464-9834
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

2251H1200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRAIG Y BANO · (Male)

NPI Number 1558376434
Status Active
Credentials MPT CHT
Entity Individual
Enumeration date 07/29/2006
Last updated 09/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PT011023L
  • DE Medicaid 1000037582
  • Other 5070-0003 CARE FIRST
  • Other 61809102 CAREFIRST
  • Other 234323000 IBC
  • Other 1667747 PABS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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