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
Phone: (518) 885-3877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104806587 | NPPES |
| New York | MEDICAID | 02428348 |
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