Park, Duk J.
Park, Duk J. is an sole proprietor health care provider with primary practice located at 166 Industrial Dr , Festus MO 63028-4133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Duk J. can be contacted via phone (636) 937-9322.Contact Information
Primary practice address
166 Industrial Dr
Festus MO 63028-4133
Phone: (636) 937-9322
Fax: (636) 937-4590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33158 | Missouri |
Profile Details
| NPI number | 1356324404 |
|---|---|
| LBN Legal business name | Park, Duk J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Sep 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356324404 | NPPES |
| Missouri | MEDICAID | 200393304 |
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