Kranenburg, Jason David

Kranenburg, Jason David is an sole proprietor health care provider with primary practice located at 1415 Highway 85 N Ste 310-147 , Fayetteville GA 30214-7738. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Kranenburg, Jason David can be contacted via phone (937) 570-2426.

Contact Information

Primary practice address
1415 Highway 85 N Ste 310-147 Fayetteville GA 30214-7738
Phone: (937) 570-2426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 143379 Georgia
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 143379 Georgia

Profile Details

NPI number 1083046635
LBN Legal business name Kranenburg, Jason David
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2013
Last updated Nov 16th, 2021 - about 3 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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