Park, Jeongpil

Park, Jeongpil is an individual health care provider with primary practice located at 101 E Matthews St Suite 700, Matthews NC 28105-4866. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Park, Jeongpil can be contacted via phone (704) 841-1701.

Contact Information

Primary practice address
101 E Matthews St Suite 700 Matthews NC 28105-4866
Phone: (704) 841-1701
Fax: (704) 841-1596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3352 North Carolina

Profile Details

NPI number 1780656546
LBN Legal business name Park, Jeongpil
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780656546 NPPES
North Carolina MEDICAID 5902382

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