DR. JACK L CRONENWETT MD NPI 1962412098

NPI Information

NPI: 1962412098
Provider Name: DR. JACK L CRONENWETT, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-8670
Get Directions

DR. Jack L Cronenwett, MD is a vascular surgery surgery in Lebanon, NH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jack L Cronenwett, MD NPI is 1962412098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-8670

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	6972	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1001327	MEDICAID	VERMONT
2	F02164	MEDICARE UPIN
3	00000046	MEDICAID	NEW HAMPSHIRE
4	NH990802	MEDICARE PIN	NEW HAMPSHIRE
5	NH990801	MEDICARE PIN	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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