Park, Joon Sung
Park, Joon Sung is an individual health care provider with primary practice located at 521 E Michigan Ave Suite 201, Kalamazoo MI 49007-3889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Park, Joon Sung can be contacted via phone (269) 226-2656.Contact Information
Primary practice address
521 E Michigan Ave Suite 201
Kalamazoo MI 49007-3889
Phone: (269) 226-2656
Fax: (269) 349-7450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301074665 | Michigan |
Profile Details
| NPI number | 1699894709 |
|---|---|
| LBN Legal business name | Park, Joon Sung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Nov 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699894709 | NPPES |
| Michigan | Other | 1106318621 | BCBS INDIVIDUAL |
| Michigan | Other | 0C97618 | BCBS INDIVIDUAL |
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