Kronlage, Jacqueline Marie
Kronlage, Jacqueline Marie is an individual health care provider with primary practice located at 107 Doctors Dr , Bridgeport WV 26330-1720. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kronlage, Jacqueline Marie can be contacted via phone (304) 842-6226.Contact Information
Primary practice address
107 Doctors Dr
Bridgeport WV 26330-1720
Phone: (304) 842-6226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 073808 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2047-IOD | West Virginia |
Profile Details
| NPI number | 1750795365 |
|---|---|
| LBN Legal business name | Kronlage, Jacqueline Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2014 |
| Last updated | Jan 10th, 2019 - about 5 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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