Park, Jae

Park, Jae is an individual health care provider with primary practice located at 9202 Commercial Centre Dr , Bridgeville DE 19933-3822. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, Jae can be contacted via phone (302) 337-9785.

Contact Information

Primary practice address
9202 Commercial Centre Dr Bridgeville DE 19933-3822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 23092 Maryland

Profile Details

NPI number 1215488465
LBN Legal business name Park, Jae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2016
Last updated Oct 22nd, 2016 - about 9 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.

Request for update

Popular Providers