Krooss, William Frederick

Krooss, William Frederick is an sole proprietor health care provider with primary practice located at 187 Doctors Dr , Pearl MS 39208-4042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Krooss, William Frederick can be contacted via phone (601) 939-8921.

Contact Information

Primary practice address
187 Doctors Dr Pearl MS 39208-4042
Phone: (601) 939-8921
Fax: (601) 932-5902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 08839 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 08839 Mississippi

Profile Details

NPI number 1588653901
LBN Legal business name Krooss, William Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated May 9th, 2019 - about 7 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 1588653901 NPPES
Mississippi MEDICAID 00015628
Mississippi Other 1427063957

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