Kraus, Diane Louise
Kraus, Diane Louise is an sole proprietor health care provider with primary practice located at 30 Park Place Way , Mashpee MA 02649-2725. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Kraus, Diane Louise can be contacted via phone (774) 521-4199.Contact Information
Primary practice address
30 Park Place Way
Mashpee MA 02649-2725
Phone: (774) 521-4199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 9683 | Massachusetts |
Profile Details
| NPI number | 1104300672 |
|---|---|
| LBN Legal business name | Kraus, Diane Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2018 |
| Last updated | Sep 20th, 2018 - about 7 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 | 1104300672 | NPPES |
| Massachusetts | Other | 9683 | STATE OF MA OCCUPATIONAL THERAPY LICENSE |
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