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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1649365396 | NPPES |
| Mississippi | MEDICAID | 00121974 |
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