Krannichfeld, Jon Michael

Krannichfeld, Jon Michael is an sole proprietor health care provider with primary practice located at 24 Norris St , Eureka Springs AR 72632-3541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Krannichfeld, Jon Michael can be contacted via phone (479) 253-7400.

Contact Information

Primary practice address
24 Norris St Eureka Springs AR 72632-3541
Phone: (479) 253-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X C4949 Arkansas

Profile Details

NPI number 1881728301
LBN Legal business name Krannichfeld, Jon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Oct 31st, 2012 - about 12 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 1881728301 NPPES
Arkansas MEDICAID 104670001
Arkansas Other 52982

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