Park, Jaehan

Park, Jaehan is an individual health care provider with primary practice located at 100 Michigan St Ne # Mc019 , Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Park, Jaehan can be contacted via phone (616) 486-0310.

Contact Information

Primary practice address
100 Michigan St Ne # Mc019 Grand Rapids MI 49503-2560
Phone: (616) 486-0310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301511476 Michigan
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 4301511476 Michigan

Profile Details

NPI number 1962995282
LBN Legal business name Park, Jaehan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Aug 6th, 2024 - about 2 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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