Cronkleton, Michael Ambrose

Cronkleton, Michael Ambrose is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Cronkleton, Michael Ambrose can be contacted via phone (563) 421-1000.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 22401 Iowa

Profile Details

NPI number 1811957590
LBN Legal business name Cronkleton, Michael Ambrose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1811957590 NPPES
Iowa MEDICAID 1195909-0215

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