Krentel, Rod G

Krentel, Rod G is an individual health care provider with primary practice located at 1340 Broad Ave Ste 140 , Gulfport MS 39501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Krentel, Rod G can be contacted via phone (228) 575-2950.

Contact Information

Primary practice address
1340 Broad Ave Ste 140 Gulfport MS 39501
Phone: (228) 575-2950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00019798 Alabama
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 16116 Mississippi

Profile Details

NPI number 1629060041
LBN Legal business name Krentel, Rod G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Sep 5th, 2018 - about 8 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 1629060041 NPPES
Alabama MEDICAID 000033662

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