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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1427107150 | NPPES |
| South Carolina | MEDICAID | 074859 | |
| South Carolina | Other | 7485 |
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