Kroll, Mark Durham
Kroll, Mark Durham is an individual health care provider with primary practice located at 2435 Kestral Blvd Apt D , West Lafayette IN 47906-6702. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kroll, Mark Durham can be contacted via phone (765) 543-0478.Contact Information
Primary practice address
2435 Kestral Blvd Apt D
West Lafayette IN 47906-6702
Phone: (765) 543-0478
Fax: (866) 406-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3300570A | Indiana |
Profile Details
| NPI number | 1144751348 |
|---|---|
| LBN Legal business name | Kroll, Mark Durham |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2017 |
| Last updated | Mar 21st, 2017 - 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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