Cronenwett, Jack L
Cronenwett, Jack L is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Cronenwett, Jack L can be contacted via phone (603) 650-8670.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-8670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 6972 | New Hampshire |
Profile Details
| NPI number | 1962412098 |
|---|---|
| LBN Legal business name | Cronenwett, Jack L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 29th, 2011 - about 13 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 | 1962412098 | NPPES |
| New Hampshire | MEDICAID | 00000046 | |
| New Hampshire | MEDICAID | 1001327 |
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