Kroll, Mark S
Kroll, Mark S is an sole proprietor health care provider with primary practice located at 501 Iron Bridge Rd Suite 15, Freehold NJ 07728-5304. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kroll, Mark S can be contacted via phone (732) 780-0100.Contact Information
Primary practice address
501 Iron Bridge Rd Suite 15
Freehold NJ 07728-5304
Phone: (732) 780-0100
Fax: (732) 780-8452
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MA32880 | New Jersey |
Profile Details
NPI number | 1174598619 |
---|---|
LBN Legal business name | Kroll, Mark S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 20th, 2006 |
Last updated | Mar 18th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174598619 | NPPES |
Other | 222981046 | BLUE CROSS/BLUE SHIELD | |
Other | 33340 | BLUE CROSS/BLUE SHIELD | |
MEDICAID | 3408302 | BLUE CROSS/BLUE SHIELD |
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