Cronan, Casey Jack
Cronan, Casey Jack is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Cronan, Casey Jack can be contacted via phone (645) 606-8068.Contact Information
Primary practice address
101 E Wood St
Spartanburg SC 29303-3040
Phone: (645) 606-8068
Fax: (864) 560-7329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 071594 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 39100 | South Carolina |
Profile Details
| NPI number | 1821415647 |
|---|---|
| LBN Legal business name | Cronan, Casey Jack |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2014 |
| Last updated | Dec 15th, 2020 - about 6 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 | 1821415647 | NPPES |
| South Carolina | Other | SC86643365 | MEDICARE PIN |
| South Carolina | MEDICAID | 391043 | MEDICARE PIN |
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