Park, Heejung
Park, Heejung is an individual health care provider with primary practice located at 1403 Madison Park Dr Ste 100 , Glen Burnie MD 21061-6292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Park, Heejung can be contacted via phone (410) 582-9630.Contact Information
Primary practice address
1403 Madison Park Dr Ste 100
Glen Burnie MD 21061-6292
Phone: (410) 582-9630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R224697 | Maryland |
Profile Details
| NPI number | 1326822669 |
|---|---|
| LBN Legal business name | Park, Heejung |
| Credentials | CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2023 |
| Last updated | Aug 18th, 2023 - about 3 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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