Park, Joon H

Park, Joon H is an individual health care provider with primary practice located at 430 W Centre Ave , Portage MI 49024. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Park, Joon H can be contacted via phone (269) 321-6673.

Contact Information

Primary practice address
430 W Centre Ave Portage MI 49024
Phone: (269) 321-6673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301065839 Michigan

Profile Details

NPI number 1700031952
LBN Legal business name Park, Joon H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 18 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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