Kroener, John M

Kroener, John M is an individual health care provider with primary practice located at 3601 Vista Way Ste 203 , Oceanside CA 92056-4559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kroener, John M can be contacted via phone (760) 724-5352.

Contact Information

Primary practice address
3601 Vista Way Ste 203 Oceanside CA 92056-4559
Fax: (760) 724-5447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G35262 California

Profile Details

NPI number 1932104890
LBN Legal business name Kroener, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 1st, 2016 - about 8 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 1932104890 NPPES
California MEDICAID G352620

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