Krom, Mark B
Krom, Mark B is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krom, Mark B can be contacted via phone (864) 455-4411.Contact Information
Primary practice address
701 Grove Rd Fl 5
Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1703 | South Carolina |
Profile Details
| NPI number | 1417395500 |
|---|---|
| LBN Legal business name | Krom, Mark B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Apr 29th, 2024 - about last year |
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 | 1417395500 | NPPES |
| South Carolina | MEDICAID | 017038 |
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