Park, Jake J
Park, Jake J is an individual health care provider with primary practice located at 9005 Chevrolet Dr Suite 4, Ellicott City MD 21042-4009. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Park, Jake J can be contacted via phone (410) 465-3221.Contact Information
Primary practice address
9005 Chevrolet Dr Suite 4
Ellicott City MD 21042-4009
Phone: (410) 465-3221
Fax: (410) 465-3514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 02017 | Maryland |
Profile Details
| NPI number | 1437278025 |
|---|---|
| LBN Legal business name | Park, Jake J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Feb 6th, 2017 - 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.
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