Park, Daniel

Park, Daniel is an individual health care provider with primary practice located at 3300 Douglas Blvd Ste 405 , Roseville CA 95661-3841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Park, Daniel can be contacted via phone (847) 337-9051.

Contact Information

Primary practice address
3300 Douglas Blvd Ste 405 Roseville CA 95661-3841
Phone: (847) 337-9051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A120791 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301094367 Michigan

Profile Details

NPI number 1518197938
LBN Legal business name Park, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Apr 12th, 2012 - about 14 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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