Park, Chan Jerome
Park, Chan Jerome is an individual health care provider with primary practice located at 7190 S Cimarron Rd , Las Vegas NV 89113-2171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Park, Chan Jerome can be contacted via phone (702) 675-3240.Contact Information
Primary practice address
7190 S Cimarron Rd
Las Vegas NV 89113-2171
Phone: (702) 675-3240
Fax: (702) 982-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 20992 | Nevada |
Profile Details
| NPI number | 1932498722 |
|---|---|
| LBN Legal business name | Park, Chan Jerome |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Oct 30th, 2024 - about 2 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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