Cronstrom, Brian William
Cronstrom, Brian William is an individual health care provider with primary practice located at 300 E 12Th St , Cozad NE 69130-1532. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Cronstrom, Brian William can be contacted via phone (308) 784-2261.Contact Information
Primary practice address
300 E 12Th St
Cozad NE 69130-1532
Phone: (308) 784-2261
Fax: (308) 784-4961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 112437 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 112437 | Nebraska |
Profile Details
| NPI number | 1285131375 |
|---|---|
| LBN Legal business name | Cronstrom, Brian William |
| Credentials | APRN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2018 |
| Last updated | Oct 24th, 2023 - about 2 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 | 1285131375 | NPPES |
| Iowa | MEDICAID | 1285131375 | |
| Iowa | MEDICAID | 47037660412 |
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