Provider Demographics
NPI:1891870416
Name:KRONER, WILLIAM THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:KRONER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:THOMAS
Other - Last Name:KRONER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:4114 W NOB HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3900
Mailing Address - Country:US
Mailing Address - Phone:509-972-0000
Mailing Address - Fax:509-972-4001
Practice Address - Street 1:4114 W NOB HILL BLVD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3900
Practice Address - Country:US
Practice Address - Phone:509-972-4000
Practice Address - Fax:509-972-4001
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA710889195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAB33948OtherPTAN: GAB33948
GAB33948OtherPTAN: GAB33948
WAGAB33947Medicare ID - Type Unspecified