Justin S. Kroll
Prevention Professional · Port Huron, MI
Practice location
1902 13TH StPort Huron, MI 48060-6238
- Phone
- (810) 300-8536
NPI record
- NPI
- 1609410596
- Entity type
- Individual (Type 1)
- Enumeration date
- November 4, 2019
- Last updated
- December 10, 2020
- Certified
- December 10, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X |
1863 | CT |
Other practice locations (9)
- 924 Wall St, Port Huron, MI 48060-5216 · (810) 300-8536
- 1234 Minnie St, Port Huron, MI 48060-6267 · (810) 300-8536
- 1036 Wall St, Port Huron, MI 48060-5218 · (810) 300-8536
- 1033 Wall St, Port Huron, MI 48060-5217 · (810) 300-8536
- 735 Wall St, Port Huron, MI 48060-5377 · (810) 300-8536
- 733 Wall St, Port Huron, MI 48060-5321 · (810) 300-8536
- 1319 Griswold St, Port Huron, MI 48060-5758 · (810) 300-8536
- 1220 Lapeer Ave, Port Huron, MI 48060-4352 · (810) 300-8536
- 904 Tunnel St, Port Huron, MI 48060-6374 · (810) 300-8536
About Justin Kroll
Justin S. Kroll is a healthcare provider registered in the NPI registry with the primary taxonomy Prevention Professional (code 405300000X). The practice location is 1902 13TH St, Port Huron, MI 48060-6238. The NPI number 1609410596 was assigned on November 4, 2019 and the record was last updated on December 10, 2020.
Justin Kroll lists a license in the registry: #1863 (CT) for Prevention Professional. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Justin S. Kroll?
The NPI number is 1609410596.
What is the phone number of Justin Kroll?
The phone number listed for the practice location is (810) 300-8536.
Where is Justin Kroll located?
1902 13TH St, Port Huron, MI 48060-6238.
What is the taxonomy code for Justin Kroll?
The primary taxonomy code is 405300000X – Prevention Professional.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.