Kroll, Benjamin M
Kroll, Benjamin M is an sole proprietor health care provider with primary practice located at 2220 Raymac Rd Sw Polk Ms, Albuquerque NM 87105-6843. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kroll, Benjamin M can be contacted via phone (505) 877-6494.Contact Information
Primary practice address
2220 Raymac Rd Sw Polk Ms
Albuquerque NM 87105-6843
Phone: (505) 877-6494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 4517 | New Mexico |
Profile Details
| NPI number | 1659565455 |
|---|---|
| LBN Legal business name | Kroll, Benjamin M |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Sep 5th, 2007 - about 18 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 | 1659565455 | NPPES |
| New Mexico | MEDICAID | NON ASSIGNED YET |
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