Cratem, Diana V
Cratem, Diana V is an individual health care provider with primary practice located at 5737 Barnhill Dr Ste 204 Credentialing Department, Jacksonville FL 32207-7189. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Cratem, Diana V can be contacted via phone (904) 733-9948.Contact Information
Primary practice address
5737 Barnhill Dr Ste 204 Credentialing Department
Jacksonville FL 32207-7189
Phone: (904) 733-9948
Fax: (904) 733-9984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT5874 | Florida |
Profile Details
| NPI number | 1457356867 |
|---|---|
| LBN Legal business name | Cratem, Diana V |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Feb 4th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457356867 | NPPES |
| Florida | Other | P00234222 | RR MEDICARE |
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