Kroencke, Scarlett Marion

Kroencke, Scarlett Marion is an sole proprietor health care provider with primary practice located at 1712 Picasso Ave Suite C, Davis CA 95618-0546. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Kroencke, Scarlett Marion can be contacted via phone (530) 753-6280.

Contact Information

Primary practice address
1712 Picasso Ave Suite C Davis CA 95618-0546
Phone: (530) 753-6280
Fax: (530) 753-6281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3832 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3832 California

Profile Details

NPI number 1750331666
LBN Legal business name Kroencke, Scarlett Marion
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jul 15th, 2009 - about 17 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 1750331666 NPPES
California Other P00119813 RAIL ROAD MEDICARE
California MEDICAID 000E38320 RAIL ROAD MEDICARE

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