Provider Demographics
NPI:1285773853
Name:KRONISER, JOSEPH J (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:KRONISER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-8911
Mailing Address - Country:US
Mailing Address - Phone:410-770-8484
Mailing Address - Fax:410-770-8499
Practice Address - Street 1:8223 ELLIOTT RD STE 7
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2956
Practice Address - Country:US
Practice Address - Phone:410-770-8489
Practice Address - Fax:410-770-8499
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD878M641FMedicare PIN