Cronin, David C.

Cronin, David C. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 200 , Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Cronin, David C. can be contacted via phone (260) 435-6275.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 200 Fort Wayne IN 46804-4159
Phone: (260) 435-6275
Fax: (260) 435-6279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 01082638A Indiana

Profile Details

NPI number 1063496925
LBN Legal business name Cronin, David C.
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 23rd, 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 1063496925 NPPES
Connecticut MEDICAID 001419002
Connecticut MEDICAID 67155103
Connecticut MEDICAID 1063496925

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