Krebaum, Howard Gustav

Krebaum, Howard Gustav is an sole proprietor health care provider with primary practice located at 37 Bellewood Ave , Centereach NY 11720-1142. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Krebaum, Howard Gustav can be contacted via phone (631) 981-6021.

Contact Information

Primary practice address
37 Bellewood Ave Centereach NY 11720-1142
Phone: (631) 981-6021
Fax: (631) 981-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3782 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00122800 New Jersey

Profile Details

NPI number 1760464069
LBN Legal business name Krebaum, Howard Gustav
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Mar 29th, 2011 - about 15 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 1760464069 NPPES
New York MEDICAID 01043356

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