1023142916 NPI number — CRONE & KUROWSKI, LLC

Table of content: (NPI 1023142916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023142916 NPI number — CRONE & KUROWSKI, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CRONE & KUROWSKI, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHGATE FAMILY MEDICINE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023142916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3605 NORTHGATE CT
Provider Second Line Business Mailing Address:
STE 207
Provider Business Mailing Address City Name:
NEW ALBANY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47150-6400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-941-9355
Provider Business Mailing Address Fax Number:
812-941-9312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3605 NORTHGATE CT
Provider Second Line Business Practice Location Address:
STE 207
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150-6400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-941-9355
Provider Business Practice Location Address Fax Number:
812-941-9312
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KUROWSKI
Authorized Official First Name:
RENE
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
812-941-9355

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  01058830A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X , with the licence number: 01050460A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1063483402 . This is a "DR CRONE NPI" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 1053382424 . This is a "DR KUROWSKI NPI" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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