Kroening, Brent M
Kroening, Brent M is an individual health care provider with primary practice located at 968 Payne Ave , North Tonawanda NY 14120-3234. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kroening, Brent M can be contacted via phone (716) 692-5480.Contact Information
Primary practice address
968 Payne Ave
North Tonawanda NY 14120-3234
Phone: (716) 692-5480
Fax: (716) 692-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 004228-1 | New York |
Profile Details
| NPI number | 1578893665 |
|---|---|
| LBN Legal business name | Kroening, Brent M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2010 |
| Last updated | Jan 12th, 2010 - about 14 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 | 1578893665 | NPPES |
| New York | MEDICAID | 00639881 |
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