Kroll, Stephen J

Kroll, Stephen J is an individual health care provider with primary practice located at 338 Harbison Blvd , Columbia SC 29212-2248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Kroll, Stephen J can be contacted via phone (803) 732-6655.

Contact Information

Primary practice address
338 Harbison Blvd Columbia SC 29212-2248
Phone: (803) 732-6655
Fax: (803) 732-6644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 7485 South Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 7485 South Carolina

Profile Details

NPI number 1427107150
LBN Legal business name Kroll, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427107150 NPPES
South Carolina MEDICAID 074859
South Carolina Other 7485

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