Degroote, John W

Degroote, John W is an individual health care provider with primary practice located at 4211 Hospital St Suite 208, Pascagoula MS 39581. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Degroote, John W can be contacted via phone (228) 762-5982.

Contact Information

Primary practice address
4211 Hospital St Suite 208 Pascagoula MS 39581
Phone: (228) 762-5982
Fax: (228) 769-7698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 06906 Mississippi
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 06906 Mississippi

Profile Details

NPI number 1649365396
LBN Legal business name Degroote, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649365396 NPPES
Mississippi MEDICAID 00121974

Popular Providers