Provider Demographics
NPI:1699782375
Name:KRONEMAN, JOHN L (MSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:KRONEMAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3493 WOODS EDGE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-5911
Mailing Address - Country:US
Mailing Address - Phone:517-886-3707
Mailing Address - Fax:517-349-1973
Practice Address - Street 1:3493 WOODS EDGE
Practice Address - Street 2:SUITE 103
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-5911
Practice Address - Country:US
Practice Address - Phone:517-886-3707
Practice Address - Fax:517-349-1973
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802080276104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker