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:
Health care specialties
| Specialty | Code | License # | 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 29th, 2026 - about last week |
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 | 1558376434 | NPPES |
| Other | 234323000 | IBC | |
| MEDICAID | 1000037582 | IBC | |
| Other | 5070-0003 | IBC | |
| Other | 1667747 | IBC | |
| Other | 61809102 | IBC |
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