Park, Erwin
Park, Erwin is an individual health care provider with primary practice located at 28 Jackson Ave Ste 1 , Pompton Plains NJ 07444-1479. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Erwin can be contacted via phone (973) 831-0382.Contact Information
Primary practice address
28 Jackson Ave Ste 1
Pompton Plains NJ 07444-1479
Phone: (973) 831-0382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22DI02740400 | New Jersey |
Profile Details
| NPI number | 1730527243 |
|---|---|
| LBN Legal business name | Park, Erwin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2013 |
| Last updated | Jul 16th, 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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