Provider Demographics
NPI:1235906223
Name:KRONENBERGER, CLAIRE JUNE
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:JUNE
Last Name:KRONENBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:JUNE
Other - Last Name:KRONENBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9 N EXCELSIOR AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9047
Mailing Address - Country:US
Mailing Address - Phone:406-490-6289
Mailing Address - Fax:
Practice Address - Street 1:9 N EXCELSIOR AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-9047
Practice Address - Country:US
Practice Address - Phone:406-490-6289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program