Park, Jae Kwan

Park, Jae Kwan is an sole proprietor health care provider with primary practice located at 5715 256Th St , Little Neck NY 11362-2140. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Park, Jae Kwan can be contacted via phone (917) 545-3143.

Contact Information

Primary practice address
5715 256Th St Little Neck NY 11362-2140
Phone: (917) 545-3143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 005860 New York

Profile Details

NPI number 1578229324
LBN Legal business name Park, Jae Kwan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2021
Last updated Nov 15th, 2021 - about 5 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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