Bano, Kraig Y

Bano, Kraig Y is an individual health care provider with primary practice located at 9475 Roosevelt Blvd , Philadelphia PA 19114-2212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Bano, Kraig Y can be contacted via phone (215) 464-6200.

Contact Information

Primary practice address
9475 Roosevelt Blvd Philadelphia PA 19114-2212
Phone: (215) 464-6200
Fax: (215) 464-9834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X PT011023L Pennsylvania

Profile Details

NPI number 1558376434
LBN Legal business name Bano, Kraig Y
Credentials MPT CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Sep 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558376434 NPPES
Other 5070-0003 CARE FIRST
Other 61809102 CARE FIRST
Other 1667747 CARE FIRST
MEDICAID 1000037582 CARE FIRST
Other 234323000 CARE FIRST

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