Park, Jaimie J
Park, Jaimie J is an individual health care provider with primary practice located at 99 E 86Th Ave Ste A , Merrillville IN 46410-6267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Park, Jaimie J can be contacted via phone (219) 738-2617.Contact Information
Primary practice address
99 E 86Th Ave Ste A
Merrillville IN 46410-6267
Phone: (219) 738-2617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01100724A | Indiana |
Profile Details
| NPI number | 1174103071 |
|---|---|
| LBN Legal business name | Park, Jaimie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Sep 2nd, 2026 - about last month |
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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