Rademacher, Diane Kathryn

Rademacher, Diane Kathryn is an sole proprietor health care provider with primary practice located at 7 Union Street , Ballston Spa NY 12020-1135. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rademacher, Diane Kathryn can be contacted via phone (518) 885-3877.

Contact Information

Primary practice address
7 Union Street Ballston Spa NY 12020-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043980 New York

Profile Details

NPI number 1104806587
LBN Legal business name Rademacher, Diane Kathryn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Nov 15th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104806587 NPPES
New York MEDICAID 02428348

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