Cronan, Casey Jack

Cronan, Casey Jack is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Cronan, Casey Jack can be contacted via phone (645) 606-8068.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (645) 606-8068
Fax: (864) 560-7329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 071594 Georgia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 39100 South Carolina

Profile Details

NPI number 1821415647
LBN Legal business name Cronan, Casey Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2014
Last updated Dec 15th, 2020 - about 5 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 1821415647 NPPES
South Carolina Other SC86643365 MEDICARE PIN
South Carolina MEDICAID 391043 MEDICARE PIN

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