Kroll, Caleb Edward

Kroll, Caleb Edward is an individual health care provider with primary practice located at 7920 Mcdonogh Rd Suite 201, Owings Mills MD 21117-5273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kroll, Caleb Edward can be contacted via phone (443) 693-7246.

Contact Information

Primary practice address
7920 Mcdonogh Rd Suite 201 Owings Mills MD 21117-5273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X D0075823 Maryland

Profile Details

NPI number 1205921780
LBN Legal business name Kroll, Caleb Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 21st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205921780 NPPES
Maryland Other 343489YY2L MEDICARE
Maryland MEDICAID 422833200 MEDICARE

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